tci Medicare Compliance & Reimbursement - 2007 Issue 28

INDUSTRY NOTES: Switch To Q Codes For Albuterol, Levalbuterol

Backlog of patients trying to bail out of Medicare Advantage plans.Effective July 1, Part B carriers will no longer pay for J7611-J7614 for nebulized drugs albuterol and levalbuterol, according to MLN Matters article MM5645.New way: You should now use Q4093-Q4094 when billing for inhalation solution that your practice purchases and provides for a nebulizer treatment (94640) and for pre/post spirometry (94060). Make sure to mark J7611-J7614 as non-payable in your system. Think of Q4093 as replacing J7611-J7612 and Q4094 as replacing J7613-J7614, advises Christine Martin, office manager at Fremont Pulmonary Care in Nebraska.Important: Medicare no longer...

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