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Primary Care Coding Alert

Reader Question:

Overnight Pulse Oximetry

Published on Sun Jul 01, 2001

Question: Can I use 94762 to report overnight pulse oximetry?

West Virginia Subscriber

Answer: Yes, it is correct to report 94762 (noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring [separate procedure]). However, this code is a technical-component-only code. The family physician must lease, rent or own the oximeter to meet the CPT billing criteria. 94762 carries an indicator of 3 in the TC/PC column of HCFAs national relative value units (RVU) file, which indicates it represents the staff and equipment costs associated with the service. Because 94762 is already identified as a technical-component-only code, the -TC modifier is unnecessary.
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