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Pulse Oximetry - reported separately

K

kte01a

Networker
Messages
51
Location
Panama City Beach, FL
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)?
 
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]
 
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