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Thread: 94760 Vs 94761

  1. #1

    Default 94760 Vs 94761

    AAPC: Back to School
    When Coding For The Er Doc And There Are Multipule Pulse Ox Readings What Do You Code? 94760 And 94761 Once Each, Only 94761, Or 94760 And 94761 X How Ever Many Readings There Are?

    Eample: Pt Comes Into Er With Shortness Of Breath Due To Asthma Exast. Pulse Ox Readings Are 92%, 94%. Pt Is Given Breathing Treatment And Pulse Ox Reading Before Discharge Is 99%

    What Would You Code?

  2. #2


    At the general practice office I do billing for, we code 94760 and also the breathing treatment & med (albuterol). Use modifiers (ex 25) and if 94760 deny's, look up Medicare NGS LCD for pulse ox to ensure that the dx supports medical necessity for the pulse ox. If so you can appeal the denial. Reimbursement for procedure code 94760 is included in the payment for procedure code 94761 when they are performed and billed for the same date of service.
    Last edited by stephne_smth; 03-06-2009 at 04:58 PM.

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