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Pulse Oximetry - reported separately

  1. #1
    Greenville, SC
    Default Pulse Oximetry - reported separately
    Exam Training Packages
    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)?

  2. Default
    I too would love to get the answer to this question. I can not find any information either.

  3. #3
    Default 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:

    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, 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.

    Hope this helps!
    Tammy Chidester, CPC, CEMC,PCS

  4. #4
    North Carolina
    Tammy is absolutley correct...

    (below is the link for reference...)


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