Wiki Documentation requirements for 94640

[lgardner]

Hello fellow coders-

I feel like I am going crazy.

I have always believed that in order to bill a nebulizer treatment (94640) in an outpatient office setting, that the documentation had to include the providers assessment of the patient reponse to the treatment.
But, I cannot find anything official to support this.

I did run across an old Forum Thread, that confirms this, but nothing official.

I would appreciate any help with this.

thanks!

 

[lgardner]

Is there anyone who knows about this requirement?

 

[KRZollinger67]

Is there anyone who knows about this requirement?

Same here on finding "official" documentation required. We've been asking for the following to bill 94640:

• The medical necessity (reason) for the treatment
• The patient's condition before and after the treatment
• The medication nebulized, and the dosage
• The name and credentials of the person who administered the treatment
• The total time of treatment

 

[lgardner]

Same here on finding "official" documentation required. We've been asking for the following to bill 94640:

• The medical necessity (reason) for the treatment
• The patient's condition before and after the treatment
• The medication nebulized, and the dosage
• The name and credentials of the person who administered the treatment
• The total time of treatment

thank you.
yes. that is all I have found "officially".

I must be crazy, because I would have sworn that the provider mentioning the results of the treatment were required.

 

[RajuKatduri123]

Same here on finding "official" documentation required. We've been asking for the following to bill 94640:

• The medical necessity (reason) for the treatment
• The patient's condition before and after the treatment
• The medication nebulized, and the dosage
• The name and credentials of the person who administered the treatment
• The total time of treatment

Thank you so much Krystal for sharing this information.

 

[suzyq_rox]

Can you provide the link for the website where the "official" documentation was found?
Thanks!!