Go Back   AAPC Forum > Medical Coding > Cardiology
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Thread Tools
Old 04-17-2008, 04:46 PM
PbiLinda PbiLinda is offline
Join Date: Apr 2007
Posts: 17
PbiLinda is on a distinguished road
Wink codes 94060 and 94760

Can I bill both these codes together, do I need a Modifier?

I would really apreciate your help.

Thank you,

Reply With Quote
Old 04-17-2008, 09:08 PM
Erica1217 Erica1217 is offline
Join Date: Apr 2007
Location: Chicopee, MA
Posts: 108
Erica1217 is on a distinguished road

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.

Reply With Quote
Old 04-25-2008, 10:06 AM
desiree384 desiree384 is offline
Join Date: Apr 2007
Posts: 20
desiree384 is on a distinguished road

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
Reply With Quote

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off

Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 05:49 PM.

Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2015, Jelsoft Enterprises Ltd.
Copyright ?2015, AAPC