Is overnight oximetry billable?


In some circumstances, the test may be billable under the following CPT Code:

CPT Code
Description
94762

Non-invasive ear or pulse oximetry for oxygen saturation by continuous over night monitoring (separate procedure)



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.