Wiki How to code for Neb treatment

[jennipapp]

I have an encounter where a girl came in for asthma and the MD administered a nebulizer treatment X 2. My question is, he didn't specify if an albuterol was used in the treatment or any other medication. Am I required to report a Jcode with this treatment, or is it ok just code the nebulizer treatment as is.

 

[Lisa Bledsoe]

If the medication used is not documented, you can't code it. You are not required to report a J code with 94640.

 

[jennipapp]

Thanks so much!