Pediatric Coding Alert
Multiple Nebulizer Training
North Carolina Subscriber
Answer: Bill for nebulizer treatments by the unit. Bill 94640 (Nonpressurized inhalation treatment for acute airway obstruction) for each treatment, with modifier -76 (Repeat procedure by same physician) appended to subsequent treatments. Some experts also recommend reporting the self-care/home management training code 97535 for time spent teaching.
Code 94664 (Aerosol or vapor inhalations for sputum mobilization, bronchodilation, or sputum induction for diagnostic purposes; initial demonstration and/or evaluation) is for teaching a parent or child how to use the nebulizer when a treatment is provided. Some pediatricians recommend using 94664 for the first treatment and 94640 for more treatments. Others say to bill 94640 instead because a nurse usually provides the education. CPT does not bundle these codes.
Pediatric Coding Alert
- Select E/M Level Based on New Documentation Guidelines
The AAP has proposed guidelines that are relevant to pediatrics. These guidelines are now under [...] - You Be the Coder:
Car Crash without Injury
Test your coding knowledge. Determine how you would code this situation before looking at the [...] - Correction:
Outpatient Consultation Codes for Observation Unit
In the December 2001 issue of Pediatric Coding Alert on page 96, in a reader [...] - News Brief:
Changes for Neonatal, Pediatric Intensive Care Codes for 2003
The neonatal intensive care codes (99295-99298) will be altered and added to in 2003. - Reader Question:
Billing for Prescription Writing
Question: Writing triplicate prescriptions for Ritalin takes a lot of time. Can you suggest appropriate [...] - Reader Question:
Newborn Examination
Question: If a baby is not seen until the day after it is born, how [...] - Reader Question:
Failed In-Office Hydration
Question: We recently treated a child with gastroenteritis in the office. The visit required prolonged [...] - Reader Question:
Telephone Admission to ED
Question: How should I bill for a patient admitted by telephone and discharged the next [...] - Reader Question:
Coding for the Bili Chek
Question: How should I bill for the new transcutaneous bilirubin machine?
Arizona Subscriber
Answer: Report the [...] - Reader Question:
Preauthorizing Synagis
Question: How can I streamline the process of preauthorizing Synagis?
Texas Subscriber
Answer: Synagis (CPT [...] - Reader Question:
Multiple Nebulizer Training
Question: We often perform numerous nebulizer treatments on a patient on the same day. How [...] - Reader Question:
Dorsal Penile Nerve Block
Question: Should I code a ring block the same as a dorsal penile nerve block?
New [...]
