Results 1 to 3 of 3

codes 94060 and 94760

  1. #1
    Wink codes 94060 and 94760
    Medical Coding Books
    Can I bill both these codes together, do I need a Modifier?

    I would really apreciate your help.

    Thank you,


  2. #2
    You can bill them together. They are not bundled per CCI, but the different payors may have their own guidelines. If I remember correctly, many payors do not reimburse 94760 when done with any other services on the same day.


  3. Default
    These are the following limitations for 94760 for GHI Medicare. I'm not sure which payor you are inquiring about. They usually have their own rules but most adhere to these guidelines.

    1. Routine testing (in the absence of signs or symptoms suggestive of desaturation) is not covered.
    2. Continuous overnight monitoring in the home is covered only when the results are reliable in that setting.
    The patient’s record must document that the oximeter is present and self-sealed and cannot be adjusted by the
    patient. In addition, the device must provide a printout which documents an adequate number of sampling
    hours, per cent of oxygen saturation and an aggregate of the results. This information must be available, if
    3. In all instances, there must be a request documented in the medical record from a physician for these
    4. When pulse oximetry for oxygen saturation is utilized to monitor a patient’s respiratory status/oxygen
    saturation during a surgical procedure, endoscopy, cardiac or pulmonary rehabilitation, oximetry is
    considered included in the primary service and not separately reimbursable.
    Desiree Balladin CPC, CCS-P, PCA
    Billing Manager

Similar Threads

  1. HELP! pulmonology testing 94060
    By apollo06 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-10-2013, 09:41 AM
  2. 493.90 w/ 94060 - denial help
    By june616 in forum Family Practice
    Replies: 2
    Last Post: 11-02-2012, 12:59 PM
  3. Wiki 94060 and 94640
    By dballard2004 in forum Medical Coding General Discussion
    Replies: 5
    Last Post: 09-20-2010, 07:26 AM
  4. 94060 and 94640 on the same visit?
    By dballard2004 in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 12-07-2009, 02:19 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.