Question:

Do you have any advice for billing oximetry trend studies?

Answer:

It is appropriate to bill for codes, which have been assigned an “N” status indicator; however, the facility will not receive additional reimbursement from Medicare. Procedures that have been classified as “incidental” will be “packaged” to the significant procedure. In the case of pulse oximetry, codes 94760. and 94761, the procedures will not pass the billing edit when there is no other procedure performed on the same date of service in the outpatient setting. Remember: code 94762 is reimbursed under a composite APC if composite-specific criteria are met, or separately under APC 5721 if not.

This question was answered in our Coding Essentials for RT/Pulmonary Function. For more hot topics relating to respiratory services, please visit our store or call us at 1.800.252.1578, ext. 2.

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