Is overnight oximetry billable?
In some circumstances, the test may be billable under the following CPT Code:
CPT Code |
Description |
94762 |
|
What if I cannot bill under CPT code 94762?
Sometimes oximetry screening may be covered under the office visit. If a physician spends additional time with a patient reviewing screening options or results from a screening test, it is up to his/her discretion to determine if a higher level Evaluation and Management code is applicable.
*Please Note: Coverage determinations vary by region & payor. This information should not be taken as advice on coding and/or submitting a claim. Providers are responsible for determining the appropriate codes, charges, modifiers, and bills for any services rendered.
Suggested Reading:
1. Birnbaum, S. Pulse Oximetry: Identifying Its Applications, Coding, and Reimbursement Chest March 2009 135:3 838-841; doi:10.1378/chest.07- 3127.