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Pulse OX question

  1. #1
    Default Pulse OX question
    Medical Coding Books
    Hi everyone, Have a question regarding a pulse ox. If the pulse ox is done in the Exam as part of the vitals, do you count it in the MDM and give a point under the Medicine Section CPT? I was under the impression if it is done in the Exam as part of the vitals then it should not be counted as part of the MDM. Any thoughts on this??

  2. #2
    Hi everyone.. I was wondering if anyone out there had any thoughts on this matter.. Any thoughts would be very helpful!! Thanks

  3. Default
    If 94760 or Pulse Ox is routinely part of the vital signs in an E/M, I do not count it in the MDM and I deny the 94760.

  4. Default
    I always count the pulse ox under the MDM for review of test in the medicine section. You cannot charge separately for doing the pulse ox during an office visit but you definitely get credit for reviewing the result.

    Lisi, CPC

  5. #5
    White Plains, NY
    Default It Depends
    If the Pulse-ox was done in order to get an O2 level, and it is recorded and justified with a Dx, then it is a test and you can bill it out and also use it in the MDM. If the doctor just used it to collect a vital sign, then, no, it doesn't count. E/M is driven by medical necessity.

    Lin CPC

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