CPT Code 94640

Data Updated for Q4 2018

CPT Code: 94640

Description: Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device

Status Code

A
Active Code. These codes are paid separately under the physician fee schedule, if covered. There will be RVUs for codes with this status. The presence of an “A” indicator does not mean that Medicare has made a nation


Global Days

XXX
The global concept does not apply to the code.


Medicare RUVs and Fees

Work RVU – 0.00
Malpractice RVU – 0.01
Facility RVU – 0.52
Non-Facility RVU – 0.52
Facility Total RVU – 0.53
Non-Facility Total RVU – 0.53

Medicare National Facility Total Payment – $19.08
Medicare National Non-Facility Total Payment – $19.08


Bundling Information

Includes

36591, 36592, 89220, 94664, 94665, 99201, 99201, 99202, 99202, 99203, 99203, 99204, 99204, 99205, 99205, 99211, 99211, 99212, 99212, 99213, 99213, 99214, 99214, 99215, 99215, 99221, 99222, 99223, 99231, 99232, 99233, 99234, 99235, 99236, 99238, 99239, 99241, 99241, 99242, 99242, 99243, 99243, 99244, 99244, 99245, 99245, 99251, 99252, 99253, 99254, 99255, 99261, 99262, 99263, 99271, 99272, 99273, 99274, 99275, 99281, 99282, 99283, 99284, 99285, 99291, 99292, 99301, 99302, 99303, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99311, 99312, 99313, 99315, 99316, 99318, 99321, 99322, 99323, 99324, 99325, 99326, 99327, 99328, 99331, 99332, 99333, 99334, 99335, 99336, 99337, 99341, 99341, 99342, 99342, 99343, 99343, 99344, 99344, 99345, 99345, 99347, 99347, 99348, 99348, 99349, 99349, 99350, 99350, 99483, 99497, 99497, G0463, G0505


Included In

00100, 00102, 00103, 00104, 00120, 00124, 00126, 00140, 00142, 00144, 00145, 00147, 00148, 00160, 00162, 00164, 00170, 00172, 00174, 00176, 00190, 00192, 00210, 00211, 00212, 00214, 00215, 00216, 00218, 00220, 00222, 00300, 00320, 00322, 00326, 00350, 00352, 00400, 00402, 00404, 00406, 00410, 00420, 00450, 00452, 00454, 00470, 00472, 00474, 00500, 00520, 00522, 00524, 00528, 00529, 00530, 00532, 00534, 00537, 00539, 00540, 00541, 00542, 00544, 00546, 00548, 00550, 00560, 00561, 00562, 00563, 00566, 00567, 00580, 00600, 00604, 00620, 00622, 00625, 00626, 00630, 00632, 00634, 00635, 00640, 00670, 00700, 00702, 00730, 00731, 00732, 00740, 00750, 00752, 00754, 00756, 00770, 00790, 00792, 00794, 00796, 00797, 00800, 00802, 00810, 00811, 00812, 00813, 00820, 00830, 00832, 00834, 00836, 00840, 00842, 00844, 00846, 00848, 00850, 00851, 00855, 00857, 00860, 00862, 00864, 00865, 00866, 00868, 00869, 00870, 00872, 00873, 00880, 00882, 00884, 00900, 00902, 00904, 00906, 00908, 00910, 00912, 00914, 00916, 00918, 00920, 00921, 00922, 00924, 00926, 00928, 00930, 00932, 00934, 00936, 00938, 00940, 00942, 00944, 00946, 00948, 00950, 00952, 00955, 01000, 01110, 01112, 01120, 01130, 01140, 01150, 01160, 01170, 01173, 01180, 01190, 01200, 01202, 01210, 01212, 01214, 01215, 01220, 01230, 01232, 01234, 01240, 01250, 01260, 01270, 01272, 01274, 01300, 01320, 01340, 01360, 01380, 01382, 01390, 01392, 01400, 01402, 01404, 01420, 01430, 01432, 01440, 01442, 01444, 01460, 01462, 01464, 01470, 01472, 01474, 01480, 01482, 01484, 01486, 01490, 01500, 01502, 01520, 01522, 01600, 01610, 01620, 01622, 01630, 01632, 01634, 01636, 01638, 01650, 01652, 01654, 01656, 01670, 01680, 01682, 01700, 01710, 01712, 01714, 01716, 01730, 01732, 01740, 01742, 01744, 01756, 01758, 01760, 01770, 01772, 01780, 01782, 01784, 01800, 01810, 01820, 01829, 01830, 01832, 01840, 01842, 01844, 01850, 01852, 01860, 01905, 01916, 01920, 01922, 01924, 01925, 01926, 01930, 01931, 01932, 01933, 01935, 01936, 01951, 01952, 01958, 01960, 01961, 01962, 01963, 01964, 01965, 01966, 01967, 01968, 01969, 01990, 01991, 01992, 94010, 94060, 94070, 94400, 94644, 94644, 94645


Mutually Exclusive

No Mutually Exclusive Edits for this Code


If you get stuck finding the right Code, take a look at our 5 Ways to Find the Most Appropriate CPT Code.



Related CPT Codes

CPT Code Description
94610 Intrapulmonary surfactant administration by a physician or other qualified health care professional through endotracheal tube
94610 Intrapulmonary surfactant administration by a physician or other qualified health care professional through endotracheal tube
94617 Exercise test for bronchospasm, including pre- and post-spirometry, electrocardiographic recording(s), and pulse oximetry
94618 Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performed
94621 Cardiopulmonary exercise testing, including measurements of minute ventilation, CO2 production, O2 uptake, and electrocardiographic recordings
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (IPPB) device
94642 Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis
94644 Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour
94645 Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure)
94660 Continuous positive airway pressure ventilation (CPAP), initiation and management
94662 Continuous negative pressure ventilation (CNP), initiation and management
94664 Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device
94667 Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluation
94668 Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequent
94669 Mechanical chest wall oscillation to facilitate lung function, per session
94680 Oxygen uptake, expired gas analysis; rest and exercise, direct, simple
94681 Oxygen uptake, expired gas analysis; including CO2 output, percentage oxygen extracted
94690 Oxygen uptake, expired gas analysis; rest, indirect (separate procedure)


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Scott Painter has extensive experience with medical coding information. He is one of the original developers of CodingToday.com and continues to be responsible for all the development, data acquisition and quality control. He believes that correct coding and documentation is one of the cornerstones of quality patient care. His mission is simple: using technology and data to help physicians and staff maximize their reimbursement and save time and money.