Wiki modifier for multiple nebulizations

[GAcoder]

what modifier goes on first nebulization of several after another procedure uses the 25? I think its 59 but not sure.
ie: 99213-25
96372
94640-?
94640-76
94640-76

Thanks for help

 

[shenikpinder]

Pressurized or nonpressurized inhalation treatment for acute airway obstruction or for sputum induction for diagnostic purposes (eg, with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing [IPPB] device)
Notes:
(For more than 1 inhalation treatment performed on the same date, append modifier 76)

There is a MUE on the neb treatment of 4 per day.

 

[shenikpinder]

GAcoder,

There shouldn't be a need for a -59 modifier because the neb and inj are inherently two completely different routes and would not hit an NCCI edit. Have you had trouble getting this paid in the past without a mod?

SP

 

[GAcoder]

I don't know if it gets paid or not, all I do is code. I don't get results of my coding, I wish I did. So, no 59 on 1st neb?

 

[Leenahz]

I'm thinking back to when I did coding for nebulizers and I want to say I DID add a 59 mod to the first 94640 if there was a 96372 involved.

Lena