Wiki 94761-78452

[smartcoder]

We are getting denial for 94761 stating that it is bundled with 78452. but per CCI there is no conflict on these two codes. Can anyone please help me to understand this?

 

[MarcusM]

The AAPC Coder tool indicates: "Noninvasive ear or pulse oximetry is a method to measure oxygen saturation using a probe. CPT 94761 is for two or more readings.
Medicare assigns a "T" status for 94760 (Noninvasive ear or pulse oximetry for oxygen saturation; single determination) and 94761.
What it means: Payers always bundle reimbursement for these two pulse oximetry services and include it with the payment of any other service provided on the same day regardless of the modifier."