gcohen
Guru
Has any had success in reimbursement for billing inhalers, ie, albuterol, from the pcp office?
We have had success with billing for teaching a patient how to use an inhaler (94664) and billing for nebulizer treatments (94640)done in the office.Has any had success in reimbursement for billing inhalers, ie, albuterol, from the pcp office?
Same here, but we want to bill the inhaler only without the neb treatment.We have had success with billing for teaching a patient how to use an inhaler (94664) and billing for nebulizer treatments (94640)done in the office.
When you say inhaler, are you referring to the mouth piece that goes on a nebulizer or and actual rescue inhaler that patient needs an rx for?Same here, but we want to bill the inhaler only without the neb treatment.
Both, to dispense both.When you say inhaler, are you referring to the mouth piece that goes on a nebulizer or and actual rescue inhaler that patient needs an rx for?
looking into if cost effectiveWhy are you not just giving them a prescription?
I don't think it's ever going to be cost-effective to insert yourself into the patient's pharmacy benefits.looking into if cost effective
the rescue inhaler and the spacer (holding chamber)When you say inhaler, are you referring to the mouth piece that goes on a nebulizer or and actual rescue inhaler that patient needs an rx for?
thanks so much for the informationYou can go about it one of two ways:
1. Issue prescription for patient to pick-up at pharmacy.
2. If you have a small medication outlet within your practice, offer inhalers as self-pay only. Insurance won't reimburse unless you have a full-time pharmacists dispensing medications at your practice.
Nebulizer piece is billable as a supply so you can offer those in-office. Just include the NU modifier with it and verify that your reimbursement rates are equal or higher than your supplier cost?