Wiki ER billing 94760

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Lorijo

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Chesilhurst, NJ
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We are having a "not so nice" debate regarding billing pulse oximetry 94760 along with an ER visit. In everything I've read, Medicare does not reimburse for 94760 when billed with and ER visit. Does anyone have any insight? Do you know where I may find documentation regarding these codes being billed together?

Any help is greatly appreciated!!

Thank you!!
 
I've had this same question in the past because we were getting it denied a lot in the past.
From my understanding on how it was explained to me, 94760 is a status T code. So if this code is billed by itself on a particular DOS, then it should be reimbursed. If it is billed with any other service on the same DOS, then it would bundle in the payment of that other service...including E/M that has a modifier 25.
 
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