tci ED Coding & Reimbursement Alert - 2001 Issue 3

Reader Question: Saturated Oxygen

Question: When billing 94760 we have always attached modifier -26 (professional component) because the physician is interpreting the reading, not performing the procedure. We recently received notification from one insurance company that attaching this modifier was incorrect. How do I code this correctly?Indiana Subscriber Answer: Routine billing for pulse oximetry on the professional side is not advisable, even with modifier -26 (professional component), because in many situations oximetry is a vital sign that nursing staff perform without an order. Its commonly incorporated with the level of service (99281-99285). The only time you might use 94760 (noninvasive ear or...

To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.


You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.

Stay in the know and avoid federal reproach with your subscription to TCI’s ED Coding and Reimbursement Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1998 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci ED Coding & Reimbursement Alert +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.