Pediatric practices have long sought advice regarding how to properly use nebulizer code 94640 (Nonpressurized inhalation treatment for acute airway obstruction) and training codes 94664 (Aerosol or vapor inhalations for sputum mobilization, bronchodilation, or sputum induction for diagnostic purposes; initial demonstration and/or evaluation) and 94665 ( subsequent).
CPT Codes 2003 alleviates much of this confusion by revising 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 (IPPB) device]) and 94664 (Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device) and deleting 94665.
Pediatricians can also stop wondering when they should report an initial (94664 for 2002) rather than a subsequent training session (94665 for 2002). CPT 2003 deletes the term "initial" from 94664. The code now refers to any inhaler or nebulizer demonstration. Consequently, CPT 2003 deletes 94665 to remove the distinctions between an initial and subsequent demonstration. You should report only one training session (94664) per day, CPT explains in a note following the code. 041b061a72