Wiki Neb treatment

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Can I bill CPT 94640 along with the facility E/M code for the facility side of ER? Or is it included in the E/M for the facility side? On encoder pro in the note section it states "EXCLUDES: Separate identifiable evaluation and management servive (99201-99499 [99224, 99225, 99226])" so i'm thinking I can bill it with a modifier 25. Thank you for your help. :)
 
I do here at the hospital ER I work in. we always use the E/M with a -25 modifier, since the neb has an "S" status indicator. If they do 2 or more nebs that day, don;t forget to apply the -76 modifier the the additional ned code(s)
 
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