Respiratory Question for the Week of August 13, 2018

Question:

Can the following codes be billed on the same date of service (DOS)?

94640

Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device

94664

Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device

Answer:

To bill both 94640 and 94664 on the same DOS, there must be documentation that supports that the procedures were separate and distinct from one another. The medical record should include a request for each procedure, and therapist documentation should support that procedures occurred at separate times.

This question was answered in the 2018 edition of our Coding Essentials for RT/Pulmonary Function. For more hot topics relating to respiratory therapy services, please view our store, or call us at 1.800.252.1578 ext. 2.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.

Respiratory Question for the Week of August 13, 2018

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