Wiki Albuterol Inhalation Treatments

[KoBee]

Hello everyone -

A bit confused as how to code when multiple inhalation treatments are given to a patient. I have read we only code CPT 94640 once per episode of care, regardless of how many treatments given, is this true? and where is the coding guideline for this so i can support our coding?

or

Can i code it with multiple qty? or with specific modifier like 76?

Appreciate any feedback, thank you.

 

[amyjph]

https://www.cms.gov/files/document/medicare-ncci-policy-manual-2024-chapter-11.pdf

8. CPT code 94640 (Pressurized or non-pressurized inhalation treatment for acute airway obstruction... (IPPB) device) describes either treatment of acute airway obstruction with inhaled medication or the use of an inhalation treatment to induce sputum for diagnostic purposes. CPT code 94640 shall only be reported once during an episode of care regardless of the number of separate inhalation treatments that are administered. If CPT code 94640 is used for treatment of acute airway obstruction, spirometry measurements before and/or after the treatment(s) shall not be reported separately. It is a misuse of CPT code 94060 to report it in addition to CPT code 94640. The inhaled medication may be reported separately. An episode of care begins when a patient arrives at a facility for treatment and terminates when the patient leaves the facility. If the episode of care lasts more than one calendar day, only one unit of service of CPT code 94640 shall be reported for the entire episode of care. If a patient receives inhalation treatment during an episode of care and returns to the facility for a second episode of care that also includes inhalation treatment on the same date of service, the inhalation treatment during the second episode of care may be reported with modifier 76 appended to CPT code 94640.If inhalation drugs are administered in a continuous treatment or a series of “back-to back” continuous treatments exceeding one hour, CPT codes 94644 (Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour) and94645 (...; each additional hour) may be reported instead of CPT code 94640.

There is more than just this section, but this is your answer.