Medicare Part B vs D determination on albuterol nebs

[justjoe]

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If a patient is in a nursing home, which insurance should be billed for albuterol nebs? Medicare Part B or Medicare Part D?

Thank you!

 

[zelman]

B vs. D determination is based on diagnosis, not setting.

 

[justjoe]

Do you know where it says that? Thank you.

 

[wolingfeng]

If it’s nursing home (long term care setting), then most likely it’s part D; most of the people time in retail setting when Medicare members are home, and if it’s used via nebulozer for COPD or Asthma, then it’s part B. Google BvsD criteria for nebulizer online.