Ear or pulse oximetry for oxygen saturation (CPT Codes 94760, 94761) will be considered medically necessary when the patient has a condition resulting in hypoxemia and there is a need to assess the status of a chronic respiratory condition, supplemental oxygen requirements and/or a therapeutic regimen (see ICD-10 Codes That Support Medical Necessity).
FAQ icd 10 codes that support cpt 93922
What is a CPT/HCPCS code?
CPT/HCPCS procedure (billing) code: For example, "92250". CPT/HCPCS codes are only included in Local Coverage Articles and certain Durable Medical Equipment (DME) LCDs, or possibly in retired versions of LCDs. This type of search will return all documents containing the CPT/HCPCS code.
Can CPT code 94762 be separately payable to a physician?
Under certain circumstances, 94762 may be separately payable to a physician (see “Indications, Medical Necessity, and Documentation”). The Correct Coding Initiative (CCI) applies to CPT codes 94760, 94761, and 94762. The CCI lists CPT codes that are bundled into other services and not separately reported.
When are modifiers needed for CPT codes?
1 Modifiers are needed to inform third-party payers of circumstances that may affect the way payment is made – the modifiers tell a story of what is being done! 2 Always link the modifier to the E/M CPT code 3 It is not necessary to have two different diagnosis codes 4 Need to document both the E/M and the procedure
What is the CPT code for pulse oximetry?
Coding and Reimbursement The Current Procedural Terminology (CPT) identifies three codes and descriptors that may be reported for pulse oximetry 94760, 94761, and 94762. The code descriptions and the approximate Medicare reimbursement are as follows: