Pulmonology · CMS status A
94640
Nebulizer treatment
Pressurized or non-pressurized inhalation treatment for acute airway obstruction or for sputum induction.
Work RVU
0.00
2026 Medicare pays
$9.35
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 0.00 + Practice 0.28 + Malpractice 0.00 = 0.28 total
Work (your effort)Practice expenseMalpractice
When to use it
In-office nebulized albuterol or saline induction.
Documentation checklist
- ✓Drug, dose, duration, response.
- ✓Pre- and post-treatment vitals/symptoms.
Common pitfalls
- !Cannot bill more than once per visit even if multiple treatments given (use modifier 76 for separate sessions, payer-dependent).
- !Drug J-code billed separately.
Common modifiers
25
Common ICD-10 pairings
J45.901J44.1
Pairs well with
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.