Pediatric Coding Alert

Prove Your RN Did 94664 to Any Doubting Authority

Published on Fri Sep 28, 2007

This tool makes documenting MDI instruction a breeze

Are insurers denying 94664 or bundling it into the E/M service? Quickly appeal denials with chart notes that clearly show the educator's demonstration and/or evaluation work.

Try this: PrimeCare of Southeastern Ohio developed a documentation tool for aerosol or metered dose inhaler (MDI) instruction by a medical technician, licensed practical nurse (LPN), or registered professional nurse (RN). The educator checks off the 94664 responsibilities she performed, and the pediatrician reviews and countersigns the note.

Easy way: Office staff prints the form -- four to a page -- on sticker sheets. "The educator sticks the documentation tool on the patient's chart," says Richard H. Tuck, MD, FAAP, pediatrician with PrimeCare of Southeastern Ohio in Zanesville.

The 94664 (Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device) documentation tool includes:

Patient/Family Education CPT 94664

Date __________

____ Nebulizer w/ appropriate mask or mouthpiece

____ MDI/inhaled meds

____ aerochamber

____ mask

____ Peak flow meter

____ Handouts

____ Verbal understanding of patient/family

____ Demonstrated to patient

____ Demonstrated by patient

Educator's full name ____________________________________