Will medicare pay for medicine (J codes 7611-7614) with nebulizer treatments in the office?

I am getting conflicting answers re if medicare part B will pay for medications dispensed with nebulizer treatment in the office or outpatient clinic setting. These J codes (7611-7614) fall under the medical coverage determinator D. As an example: If a physician billed a 94640 would you also bill J7611? If not, can someone identify where I would find something specifically in writing for my docs?

Thanks

nebulizer treatments

with the allergy season in full swing, this has come up again and again in my office.
i too am receiving conflicting answers. for medicare, is the med bundled into the cpt code for the treatments?

nebulizer

Bill the drug separately. If an E/M was also medically necessary use modifier -25 on E/M code.

nebulizer

Palmetto is denying saying we need to bill as DME. I am confused as to why, when it was our machine used in our office.

Palmetto- confused?

J7604 - J7699 Inhalation Solutions Local Carrier if incident to a physician's service. If other, DME MAC.
http://www.palmettogba.com/palmetto/providers.nsf/DocsCat/Providers~Railroad%20Medicare~Articles~DMEPOS~2009%20Durable%20Medical%20Equipment%20Prosthetics%20Orthotics%20and%20Supply%20(DMEPOS)%20Healthcare%20Common%20Procedure%20Coding%20System%20(HCPCS)%20Codes%20Jurisdiction%20List?open&navmenu=Articles%7C%7C%7C%7C

J codes with nebulizer treatments

Thank you so very much for your response!

Carole

your welcome

Hope it helped