tci ED Coding & Reimbursement Alert - 2003 Issue 1

The Key to Pulse Oximetry Coding: Zoom In on Payer Policies

Payment for pulse oximetry varies widely from payer to payer, so pay close attention to policy differences in order to avoid denials and collect separate payment when it's covered. Make sure each of your payer policies allows billing separately for the professional interpretation of pulse oximetry, a service that measures the concentration of oxygen in the blood. Three codes describe the service: 94760 Noninvasive ear or pulse oximetry for oxygen saturation; single determination 94761 ... multiple determinations (e.g., during exercise) CPT 94762 ... by continuous overnight monitoring (separate procedure). If you bill for the interpretation of pulse oximetry and your...

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