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94762

Karin Posted Fri 04th of January, 2013 19:20:45 PM

Can you bill for 94762 when a patient uses a 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 were it was ordered at.

SuperCoder Answered Mon 07th of January, 2013 05:27:52 AM

Yes, it is correct to report 94762 (noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring [separate procedure]). However, this code is a technical-component-only code. The family physician 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 HCFAs national relative value units (RVU) file, which indicates it represents the staff and equipment costs associated with the service. Because 94762 is already identified as a technical-component-only code, the -TC modifier is unnecessary.

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