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Medicare Compliance & Reimbursement

Part B Coding Coach:

Follow These 4 Quick Guidelines to Collect for Inhaler Education Claims

Published on Fri Feb 25, 2011

Learn what steps to take when provider charges for a Diskus demo. One thing you should keep in mind when reporting for inhaler demo/evaluation is the type of device the provider is using, but don't stop with just that. Documentation requirements and qualifying modifiers are just as important when coding for inhaler services. When you're confused why some payers would deny reimbursement for certain inhaler claims, the following ideas could guide you to a better understanding of how inhaler service codes work out. 94664 Is Your Ticket to Diskus Demo Pay The Advair Diskus is an "aerosol generator." If the nurse/medical assistant taught someone to use an Advair Diskus -- or any other diskus -- you should report 94664 (Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device). Example: A pulmonologist starts a patient with asthma (493.00, Extrinsic asthma; unspecified or 493.20, Chronic obstructive [...]
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