Name of the Procedure:

Long-acting inhaled bronchodilator prescribed
HCPCS Code: G9695

Summary

In this procedure, a healthcare provider prescribes a long-acting inhaled bronchodilator to help manage respiratory conditions such as asthma or COPD (Chronic Obstructive Pulmonary Disease). The medication is delivered via an inhaler or nebulizer, providing extended relief from symptoms like shortness of breath and wheezing.

Purpose

The main purpose of prescribing a long-acting inhaled bronchodilator is to improve lung function and quality of life for patients with chronic respiratory conditions. This medication helps to keep airways open, making breathing easier and reducing the frequency and severity of symptoms.

Indications

• Chronic Obstructive Pulmonary Disease (COPD)
• Moderate to severe asthma
• Chronic bronchitis
• Other conditions associated with airway obstruction

Preparation

• No specific fasting or dietary restrictions are required before receiving a prescription.
• A thorough medical history and physical examination are typically conducted.
• Lung function tests, such as spirometry, may be performed to assess the severity of the condition.

Procedure Description

1. The healthcare provider evaluates the patient's respiratory condition.
2. Based on the evaluation, the provider prescribes the appropriate long-acting inhaled bronchodilator.
3. The patient is instructed on how to use the inhaler or nebulizer device properly.
4. The medication is administered regularly as per the prescribed dosage schedule, usually once or twice daily.

Duration

• The prescription process takes about 15-30 minutes during a clinic visit.
• The duration of medication use can be indefinite, depending on the patient's condition and response to treatment.

Setting

• Typically performed in an outpatient clinic or during a regular doctor's visit.

Personnel

• Primary care physician or pulmonologist
• Respiratory therapist (for teaching inhaler or nebulizer use)

Risks and Complications

• Common risks: Dry mouth, tremors, headache
• Rare risks: Increased heart rate, palpitations, allergic reactions
• Management: Regular monitoring and follow-ups to adjust dosage or change medication if needed

Benefits

• Improved breathing and reduced respiratory symptoms
• Enhanced quality of life and physical activity levels
• Reduced frequency of asthma or COPD exacerbations

Recovery

• No recovery period as it is a non-invasive prescription
• Regular follow-ups to monitor effectiveness and adjust treatment as needed

Alternatives

• Short-acting bronchodilators for immediate symptom relief
• Combination inhalers with corticosteroids for added anti-inflammatory effects
• Oral medications or other forms of therapy such as pulmonary rehabilitation

Patient Experience

• Patients may feel relief from symptoms within days of starting the medication.
• Proper instruction and practice are essential to ensure correct use of the inhaler or nebulizer.
• Pain and discomfort are minimal, limited to potential minor side effects of the medication.