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Pulmonology Coding Alert

Pulmonary Procedure:

94664: Have You Mastered the Do's and Don'ts of Inhaler Service Claims?

Published on Tue Oct 19, 2010

Inhaler demo could pay you $14 or more -- if you know how to navigate the rules.Three things you should keep in mind when reporting for inhaler demo/evaluation: (1) the type of device used, (2) documentation requirements and (3) qualifying modifiers. The following do's and don'ts show you why some payers would deny payment for this service " and what you should do to outsmart them.Don't: Misjudge Advair DiskusThe 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 asthma; unspecified) on Advair. A nurse then teaches the patient how to use the Diskus. As per CPT guidelines, you should report 99201-99215 for the office [...]
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