Melissa Posted Thu 01st of December, 2016 10:34:24 AM
Our physician was performing a procedure in the office; the patient is on oxygen at home. Her O2 saturation began to fall in the prone position during the procedure. I know the administration of oxygen would be included in the E&M visit but we are not billing an E&M, only a procedure code. Should we bill an additional E&M or would the administration be included in the CPT code for the procedure? Also, would I bill for the actual oxygen used? Thank you very much
SuperCoder Answered Fri 02nd of December, 2016 01:43:22 AM
Greetings from SuperCoder.com!
As per CMS guidelines, “Services and supplies commonly furnished in physicians’ offices are covered under the incident to provision. Supplies usually furnished by the physician in the course of performing his/her services, e.g., gauze, ointments, bandages, and oxygen, are also covered. Charges for such services and supplies must be included in the physicians’ bills. To be covered, supplies, including drugs and biologicals, must represent an expense to the physician or legal entity billing for the services or supplies.”
This means you can bill for the oxygen too.
We hope this makes sense.
Please feel free to write if you have any further questions.
Melissa Posted Fri 02nd of December, 2016 12:00:36 PM
so I bill for the actual amount of oxygen used, but I do not bill and administration code? is that correct?
SuperCoder Answered Mon 05th of December, 2016 03:19:07 AM
Yes, you should bill for the actual amount of oxygen used as a supply. Administration is included in the professional services of the physician.