tci ED Coding & Reimbursement Alert - 2000 Issue 2

Reader Question: Pulse Oximetry

Question: Is it acceptable for emergency physicians to bill for pulse oximetry interpretations even if they do not own the equipment?Anonymous Georgia SubscriberAnswer: According to CPT, billing for pulse oximetry (94760-94762) is appropriate for emergency physicians even though they dont own the equipment. The documentation should show whether the reading was normal or abnormal and any corresponding treatment. The physician should report the code with the -26 modifier (professional component only) to indicate that this service is separate from the technical component. Emergency physicians should note that reimbursement for pulse oximetry determinations varies by payer. The American Medical...

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