kte01a
Networker
Can someone help me locate EXACTLY where it is documented that a pulse ox (94760) can only be reported separately with a particular diagnosis set (otherwise being included within the E/M service)?
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Wiki Pulse Oximetry - reported separately
- Thread starter kte01a
- Start date
suedenz
Guest
I too would love to get the answer to this question. I can not find any information either.
tammycpc
New
94760
If you look up the code 94760 on the Medicare fee schedule, you will see that the codes policy indicator has a Procedure status code of "T". This "T" indicator means that:
[FONT=BHMJF B+ Times New Roman PSMT]These services are only paid if there are no other services payable under the physician fee schedule billed on the same date by the same provider, [/FONT][FONT=BHMFA N+ Times New Roman PSMT]if the same provider submits any other services payable under the physician fee schedule on the same date, these services are bundled into the physician service(s) for which payment is made.[/FONT]
[FONT=BHMFA N+ Times New Roman PSMT]Hope this helps![/FONT]
[FONT=BHMFA N+ Times New Roman PSMT]Tammy Chidester, CPC, CEMC,PCS[/FONT]
If you look up the code 94760 on the Medicare fee schedule, you will see that the codes policy indicator has a Procedure status code of "T". This "T" indicator means that:
[FONT=BHMJF B+ Times New Roman PSMT]These services are only paid if there are no other services payable under the physician fee schedule billed on the same date by the same provider, [/FONT][FONT=BHMFA N+ Times New Roman PSMT]if the same provider submits any other services payable under the physician fee schedule on the same date, these services are bundled into the physician service(s) for which payment is made.[/FONT]
[FONT=BHMFA N+ Times New Roman PSMT]Hope this helps![/FONT]
[FONT=BHMFA N+ Times New Roman PSMT]Tammy Chidester, CPC, CEMC,PCS[/FONT]
RebeccaWoodward*
True Blue
Tammy is absolutley correct... 
(below is the link for reference...)
http://www.cignagovernmentservices.com/partb/pubs/mb/2000/00_2/forall/0002b4a.html
(below is the link for reference...)
http://www.cignagovernmentservices.com/partb/pubs/mb/2000/00_2/forall/0002b4a.html