Guest guest Posted July 4, 2007 Report Share Posted July 4, 2007 94760 Noninvasive ear or pulse oximetry for oxygen saturation; single determination 94761 Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (e.g., during exercise) So, for walking around in the office and checking pulse ox it would be 94761. Reimbursement is payor dependent. Soma Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 4, 2007 Report Share Posted July 4, 2007 There is a code for the 12 minute walk with pulse ox before and after. It was new for 2007. Don't remember where I saw it. Shirley > Re: pulse oximetry > Date: Wed, 4 Jul 2007 07:42:24 -0700 (PDT) > > > 94760 Noninvasive ear or pulse oximetry for > oxygen saturation; single determination > > 94761 Noninvasive ear or pulse oximetry for > oxygen saturation; multiple determinations (e.g., > during exercise) > > So, for walking around in the office and checking > pulse ox it would be 94761. Reimbursement is payor > dependent. > > Soma > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 4, 2007 Report Share Posted July 4, 2007 Thanks for the info, shirley.Had no idea about the walk test.Looks like it is a 6-minute walk test. Interesting. Locke, MD ============================================http://www.qrsdiagnostic.com/193929.ihtml SpirOxCard® Spirometer / Pulse OximeterReimbursement Source: November 2006 Federal Register publications of Final Rule Medicare Program’s Fee Schedule for Physician’s Services for Calendar Year 2007 and the Tax Relief and Health Care Act of 2006. CPT Codes for SpirometryThe following common procedure terminology codes (CPT Codes) describe the various spirometric procedures and the national average reimbursement amount. They include, but are not limited to: Comprehensive Code Component Code Description National Fee 94010 00520,94200,94375, 95070,95071 Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without MVV. $33.32 94014 00520, 94010,94015, 94016,94200, 94375 Patient-initiated spirometric recording per 30 day period of time; includes reinforced education, transmission of spirometric tracings, data capture, analysis of transmitted data, periodic recalibration and physician review and interpretation. $48.66 94015 00520, 94010,94200, 94375 Patient-initiated spirometric recording per 30 day period of time; recording (includes hook up, reinforced education, data transmission, data capture, trend analysis and periodic recalibration). $23.79 94016 00520, 94015,94375 Patient-initiated spirometric recording per 30 day period of time; physician review and interpretation only. $24.87 94060 00520, 36000,36410, 94010,94200, 94375,94640, 94664,94770, 95071 Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration.(Report bronchodilator separately with 99070 or appropriate supply code)(For prolonged exercise test for bronchospasm with pre-and post-spirometry, use 94620). $56.61 94150 Vital capacity; total (separate procedure). $21.28 94200 Maximum breathing capacity, maximal voluntary ventilation (MVV). $22.18 94375 00520 Respiratory Flow Volume Loop. $36.00 S8190 HCPC Code for Electronic Spirometer 94620 00520, 93015, 93016, 93017, 93018, 93041, 93042, 94010, 94060, 94200, 94250, 94680, 94681, 94690, 94760, 94761, 94770 Pulmonary stress testing; simple (eg, 6-minute walk test, prolonged exercise test for bronchospasm with pre- and post-spirometry and oximetry) $105.96ICD-9 Codes for SpirometryThe following ICD-9 Codes support the medical necessity for the use of a spirometer. They include, but are not limited to: 466 – 466.19 Acute bronchitis andbronchiolitis 490 Bronchitis, not specified as acute or chronic 491 – 491.9 Chronic Bronchitis 492 – 492.8 Emphysema 493 – 493.91 Asthma 494 Bronchiectasis 496 Chronic airway obstruction, not elsewhere classified 508 – 508.9 Respiratory condition due to other and unspecified external agents 518.9 Other diseases of respiratory system, not elsewhere classified 519.1 Bronchospasm 780.51 Insomnia with sleep apnea 786.2 Cough 780.53 Hyperinsomnia with sleep apnea 793.1 Abnormal chest x-ray 786 Abnormal chest sounds 277 Cystic Fibrosis 790.7 Chronic fatigue 787 Heartburn E942.9 Other unspecified agents primarily affecting thecardiovascular system 305.1 History of tobacco abuse V13.8 History of thyroid disorder CPT Codes for OximetryThe following common procedure terminology codes (CPT Codes) describe the various pulse oximetry procedures and the national average reimbursement amount. They include, but are not limited to:Note that the same provider cannot bill for oximetry on the same day that another billable procedure has been provided. Comprehensive Code Component Code Description NationalFee 94760 82803,82805,94762 Noninvasive ear or pulse oximetry for oxygen saturation; single determination. (For blood gases, see 82803-82810) $2.62 94761 82803,82805,94760,94762 Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (Example: During Exercise). $5.18 94762 82805 Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure). $25.03 94620 00520, 93015, 93016, 93017, 93018, 93041, 93042, 94010, 94060, 94200, 94250, 94680, 94681, 94690, 94760, 94761, 94770 Pulmonary stress testing; simple (eg, 6-minute walk test, prolonged exercise test for bronchospasm with pre- and post-spirometry and oximetry). $105.96 94621 Pulmonary stress testing; complex (including measurements of CO2 production, O2 uptake, and electrocardiographic recordings). $148.83 -----Original Message-----From: [mailto: ] On Behalf Of Shirley Pigott MDSent: Wednesday, July 04, 2007 9:13 AMTo: Subject: Re: Re: pulse oximetryThere is a code for the 12 minute walk with pulse ox before and after. It was new for 2007. Don't remember where I saw it.Shirley> Re: pulse oximetry> Date: Wed, 4 Jul 2007 07:42:24 -0700 (PDT)>>> 94760 Noninvasive ear or pulse oximetry for> oxygen saturation; single determination>> 94761 Noninvasive ear or pulse oximetry for> oxygen saturation; multiple determinations (e.g., during exercise)>> So, for walking around in the office and checking pulse ox it would be> 94761. Reimbursement is payor dependent.>> Soma> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 4, 2007 Report Share Posted July 4, 2007 Reimbursement is non-existent in my experience. L. Skaggs, MD Lexington, KY www.fayettefamilymed.com Re: pulse oximetry 94760 Noninvasive ear or pulse oximetry for oxygen saturation; single determination 94761 Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (e.g., during exercise) So, for walking around in the office and checking pulse ox it would be 94761. Reimbursement is payor dependent. Soma Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 4, 2007 Report Share Posted July 4, 2007 Walking is paid, rest measure is bundled. Try it, that's the way they do it here Western Pa Dr Levin Re: pulse oximetry 94760 Noninvasive ear or pulse oximetry foroxygen saturation; single determination94761 Noninvasive ear or pulse oximetry foroxygen saturation; multiple determinations (e.g.,during exercise)So, for walking around in the office and checkingpulse ox it would be 94761. Reimbursement is payordependent.Soma Quote Link to comment Share on other sites More sharing options...
Guest guest Posted July 4, 2007 Report Share Posted July 4, 2007 I have not found anyone who payes these codes, stopped trying. ________________________________ From: on behalf of Annie Skaggs Sent: Wed 7/4/2007 11:45 AM To: Subject: RE: Re: pulse oximetry Reimbursement is non-existent in my experience. L. Skaggs, MD Lexington, KY www.fayettefamilymed.com Re: pulse oximetry 94760 Noninvasive ear or pulse oximetry for oxygen saturation; single determination 94761 Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (e.g., during exercise) So, for walking around in the office and checking pulse ox it would be 94761. Reimbursement is payor dependent. Soma Quote Link to comment Share on other sites More sharing options...
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