In the December 2007 issue (Vol 3, No. 3) of AAP Pediatric Coding Newsletter™, we advised that on July 1, 2007, Medicare no longer accepted or paid for Healthcare Common Procedure Coding System Level II codes J7611–J7614 for albuterol, instead requiring codes Q4093 and Q4094 to be reported. Furthermore, we advised that because this was a Medicare policy, Medicaid programs and commercial payers might not adopt this new policy or recognize the Q codes.
Now, effective for services provided on or after January 1, 2008, codes Q4093, Q4094, and J7611–J7614 have all been deleted. The following new codes must now be used for reporting albuterol:
Make sure to change your encounter forms and billing software and educate all physicians and staff so the correct codes are reported!