Otolaryngology Coding Alert
READER QUESTIONS:
Bill 94762 for the Equipment
Published on Wed Mar 28, 2007
Question: When an allergist performs 94762 on hospital inpatients, may I bill for the code? Answer: No. Code 94762 (Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring [separate procedure]) does not include payment for any work the allergist completed. Code 94762 covers technical services only. So you may only bill the code if the allergist performs the service in an outpatient setting and is thus billing for the equipment. When 94762 is performed in the hospital, the hospital owns the equipment and bills for it.
California Subscriber
Other Articles in this issue of
Otolaryngology Coding Alert
- Gain Almost $700 for Decadron Injection That Qualifies for 69801
Labyrinthotomy code applies to perfusion of steroid, not just gentamicin
Using 90772 instead of 69801 for [...] - Bookmark the Fast Facts You Need on Coding Perfusions
Bonus: This summary can put you 1 CEU closer to reaching your renewal requirement
Tip: Put [...] - Debunk 5 Myths of Coding for Audiological Tests
Reimbursement matches MD's when audiologist bills 92552-92557 and more
Don't let incident-to and diagnostic service guidelines [...] - Designate These Hearing Codes as AuD NPI Ones
These diagnostic tests should be billed directly, not incident-to
You-re taking the bull by the [...] - Get Up to Speed on the New CMS-1500 Form
Make sure your software is ready to handle the changes
Just when you think you-re prepared [...] - You Be the Coder:
Is 42962 Tied to 42826?
Question: A patient had resection of an oropharyngeal cancer about a month ago.
The pectoralis flap [...] - READER QUESTIONS:
Must You Always Follow NCCI Edits?
Question: When specialty-society guidelines differ from National Correct Coding Initiative (NCCI) edits, a commercial payer [...] - READER QUESTIONS:
Opt for Site-Specific Biopsy Code
Question: Should I use 11100-11101 or 69100 for the following operative report: Patient had thickened [...] - Correction:
Medicare Reduces Pay on Some NPP, Not AuD, Billed Claims
This reduction does not apply to audiologists- billed services
Don't worry about losing payment on diagnostic [...] - READER QUESTIONS:
Look Beyond HPI for Chronic Condition
Question: The 1997 audit guidelines state that I can reach an extended history by updating [...] - READER QUESTION:
Find Code for Rotation Flap
Question: My doctor did a major ear surgery on a man who has radiation necrosis [...] - Breathe Easy When You Code EAA Workup Using These Steps
Hint: 94010, 94375 are shoe-ins for bundled status
A workup for possible extrinsic allergic alveolitis (EAA) [...] - You Be the Coder:
Solve 94640 Denial Using These Tools
Question: I reported a sick visit, in which a strep test and nebulizer treatment were [...] - Get the Scoop on Xolair Administration Coding
2 societies say omalizumab falls under 90772
If 90772 and 96401 came with a drug reference [...] - Avoid Underreporting Omalizumab Services With 4 Items
You code it: Asthma patient receives Xolair injection
A completed CMS-1500 form for administration of omalizumab [...] - Welcome 2 Changes to Allergy Test Code
Thank CMS for increased antigen payment and quantity
The next time you report allergy titration tests, [...] - READER QUESTIONS:
NPPs Can Share Certain Hospital Visits
Question: Can an initial hospital visit be split/shared?
California Subscriber
Answer: You should report hospital E/M [...] - READER QUESTIONS:
No Inpatient Contact = No E/M Service
Question: I read -When reporting discharge day management service, you must provide and document a [...] - READER QUESTIONS:
Use Respiratory Dx for Wheezing
Question: Concerning coding of acute bronchospasm (519.11), when is it appropriate to simply report 786.07 [...] - READER QUESTIONS:
CPAP and Hospital Care--1 Code or 2?
Question: An allergist performed CPAP (94660) in addition to 99233. Should I separately bill the [...] - READER QUESTIONS:
Bill 94762 for the Equipment
Question: When an allergist performs 94762 on hospital inpatients, may I bill for the code?
California [...] - READER QUESTIONS:
Use Modifier to Report Inhalations
Question: When I bill two units of 94640, insurers deny the second charge as duplicative. [...] - READER QUESTIONS:
Click Your Way to 94060 Updates
Question: I have a report of a patient with documented asthma and shortness of breath, [...] - READER QUESTIONS:
Bill 2nd Opinions 2 Ways
Question: I know that CPT deleted the confirmatory consult codes for billing second opinions, but [...]
View All
