Cardiopulmonary Monitoring Is Often Bundled

Remember that cardiopulmonary monitoring services (e.g., 94770 Carbon dioxide, expired gas determination by infrared analyzer) are regularly bundled as inclusive components of procedures reported by the performing provider (e.g., surgeon or anesthesiologist). In such cases, you would not report the cardiopulmonary monitoring independently.

Chapter 1 of the National Correct Coding Initiative Policy Manual for Medicare Services formalizes this policy, stating, “Many procedures require cardiopulmonary monitoring either by the physician performing the procedure or an anesthesia practitioner. Since these services are integral to the procedure, they are not separately reportable. Examples of these services include cardiac monitoring, pulse oximetry, and ventilation management (e.g., 93000-93010, 93040-93042, 94760, 94761, 94770).”

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John Verhovshek

John Verhovshek

John Verhovshek, MA, CPC, is Managing Editor at AAPC. He has covered medical coding and billing, healthcare policy, and the business of medicine since 1999. He is an alumnus of York College of Pennsylvania and Clemson University, and a member of the Asheville-Hendersonville AAPC Local Chapter.
John Verhovshek

About Has 402 Posts

John Verhovshek, MA, CPC, is Managing Editor at AAPC. He has covered medical coding and billing, healthcare policy, and the business of medicine since 1999. He is an alumnus of York College of Pennsylvania and Clemson University, and a member of the Asheville-Hendersonville AAPC Local Chapter.

One Response to “Cardiopulmonary Monitoring Is Often Bundled”

  1. Kirsten Levy says:

    I work in a PCP office and I always thought that pulse oximetry – CPT 94760 was considered to be bundled with the E&M just as you had stated above, however, this months’ Healthcare Business Monthly from AAPC seems to state otherwise.
    If you have a moment to read the article on “Don’t leave money on the Nebulizer Table” I would like to know how you interpret it. I would very much appreciate your feedback
    Thank You

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