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[Partha]

Medicare is denying Albuterol J7620 given to patient in office as bundled. Other CPTs billed 99214, 94640 (intermittent positive pressure breathing)

Any inputs will be greatly appreciated!

 

[Lisa Bledsoe]

You may be using the wrong code for the Albuterol. I would double check what was given vs the code reported.

 

[mitchellde]

Medicare here in my state always bundle the albuteral with the IPPB treatment, stating that the treament is invalid without the drug. Could be the issue here.

 

[jgf-CPC]

Bundling

Are you using the 25 mod on the E&M?