tci Part B Insider - 2010 Issue 41

Reader Questions: 94640 + J Code: Go Full Circle with Albuterol Treatment

Question:My physician performed an albuterol treatment in the office. Can I bill for it?Answer:Yes. You would use 94640 (Pressurized or nonpressurized inhalation treatment for acute airway obstruction or for sputum induction for diagnostic purposes [e.g., with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing [IPBB] device]) with the appropriate HCPCS J code. In this case, you have four choices:J7611 (Albuterol, inhalation solution, FDA-approved final product, non-compounded, administered through DME, concentrated form, 1 mg),J7612 (Levalbuterol, inhalation solution, FDA-approved final product, non-compounded, administered through DME, concentrated form, 0.5 mg),J7613 (Albuterol, inhalation solution...

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