Pulmonology Coding Alert
Remember That 94762 is an Exclusive Technical Component Code
Question: Can you bill for 94762 when a patient uses an overnight oximetry and returns it the next day with the readings? There is not an interpretation done by the MD. We are a facility hospital. This will be billed on his ER stay as that was where it was ordered at.
Answer: Yes, it is correct to report 94762 (Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring [separate procedure]). This code is a technical-component-only code, and has no associated "physician work". Therefore, an interpretation is not required. Your facility must lease, rent or own the oximeter to meet the CPT® billing criteria. 94762 carries an indicator of 3 in the TC/PC column of CMSs national relative value units (RVU) file, which indicates it represents the staff and equipment costs associated with the service. Because it is a stand-alone code you don’t have to use the -TC modifier with the code.
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Pulmonology Coding Alert
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