Nebulizer Therapy Billing Reminders - Modifiers, Dispensing Fees, and Orders

by  Christine Woolstenhulme, QCC, QMCS, CPC, CMRS
February 24th, 2016

The ICD-10-CM code describing the condition necessitating nebulizer therapy must be included on each claim for equipment, accessories, and/or drugs.

When ever a unit dose code is billed, it must have a KOKP, or KQ modifier. (Exception: The KOKP, and KQ modifiers should not be used with code J7620.)

When billing miscellaneous equipment or accessories (E1399), the claim must include:

When billing a not otherwise classified drug (J7699), the claim must include:

The order for any drug must clearly specify the type of solution to be dispensed and the administration instructions for that solution. The type of solution is described by a combination of:

Dispensing fees:

References: L11488, PA A24942 (prior to 10/01/2015); L33370, A52466 (on/after 10/01/2015)


Nebulizer Therapy Billing Reminders - Modifiers, Dispensing Fees, and Orders. (2016, February 24). Find-A-Code Articles. Retrieved from

© InnoviHealth Systems Inc

Article Tags  (click on a tag to see related articles)

Allergy and Immunology Resources

  • ICD-10-CM Specialty Specific Code Book
  • Provider Documentation Guides
  • ICD-10-CM Comprehensive Code Books
  • and more...

Publish this Article on your Website, Blog or Newsletter

This article is available for publishing on websites, blogs, and newsletters. The article must be published in its entirety - all links must be active. If you would like to publish this article, please contact us and let us know where you will be publishing it. The easiest way to get the text of the article is to highlight and copy. Or use your browser's "View Source" option to capture the HTML formatted code.

If you would like a specific article written on a medical coding and billing topic, please Contact Us.


innoviHealth Systems, Inc.
62 East 300 North
Spanish Fork, UT 84660
Phone: 801-770-4203 (8-5 Mountain)
free demo
request yours today
free subscription
for any budget

Thank you for choosing Find-A-Code, please Sign In to remove ads.