Re: Billing for reading Overnight O2 Saturations

[Guest guest]

Thanks .

But I'm not doing the technical part -- only the interpretation.

I was hoping there was a code like with EKG's -- where it is just the interpretation.

Locke, MD

From: [mailto: ] On Behalf Of Sent: Tuesday, November 11, 2008 8:03 AMTo: Subject: Re: Billing for reading Overnight O2 Saturations

,

I have always used the 94762. I have a little Nonin wrist pulse oximeter that I loan out for overnight reads. I have never found a code for just the interpretation.

Durango, CO

On Mon, Nov 10, 2008 at 8:48 PM, Locke <lockecoloradogmail> wrote:

I do a handful of O2 Saturations.

Not enough to buy a machine, but enough to bill for the interpretation of the report when the local medical supply company faxes it to me.

What is the CPT for the reading part of the Overnight Oxygen Saturation Test?

This gives some info...but not what I'm looking for.

http://www.utmb.edu/compliance/coder_additional_pages/Standard%20pulse%20oximetry.pdf

EKG's have a similar break out...one coe for interp and report, one for tracing only and one for interp only.

I would suspect there is the same for O2 sats.

http://www.qrsdiagnostic.com/194050.ihtml

CPTCode

ComponentCode

Description

National Fee

93000

93005,93010,93040, 93041,93042

Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report.

$22.96

93005

93040, 93041,93042

Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report.

$14.54

93010

93040, 93041,93042

Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only.

$8.43

93040

93041, 93042,93268

Rhythm ECG, one to three leads; with interpretation and report.

$13.77

93041

Rhythm ECG, one to three leads; tracing only without interpretation and report.

$6.11

93042

92968, 93272

Rhythm ECG, one to three leads; interpretation and report only.

$7.66

I see this for oximetry, but I don't see a separate code for just reading the report.

http://www.qrsdiagnostic.com/194338.ihtml

CPTCode

Component Code

Description

NationalFee

94760

82803,82805,94762

Noninvasive ear or pulse oximetry for oxygen saturation; single determination.

$2.62

94761

82803,82805,94760,94762

Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (Example: During Exercise).

$5.54

94762

82805

Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure).

$28.84

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).

$89.12

94621

Pulmonary stress testing; complex (including measurements of CO2 production, O2 uptake, and electrocardiographic recordings).

$157.11

Locke, MD

[Guest guest]

Thanks .

But I'm not doing the technical part -- only the interpretation.

I was hoping there was a code like with EKG's -- where it is just the interpretation.

Locke, MD

From: [mailto: ] On Behalf Of Sent: Tuesday, November 11, 2008 8:03 AMTo: Subject: Re: Billing for reading Overnight O2 Saturations

,

I have always used the 94762. I have a little Nonin wrist pulse oximeter that I loan out for overnight reads. I have never found a code for just the interpretation.

Durango, CO

On Mon, Nov 10, 2008 at 8:48 PM, Locke <lockecoloradogmail> wrote:

I do a handful of O2 Saturations.

Not enough to buy a machine, but enough to bill for the interpretation of the report when the local medical supply company faxes it to me.

What is the CPT for the reading part of the Overnight Oxygen Saturation Test?

This gives some info...but not what I'm looking for.

http://www.utmb.edu/compliance/coder_additional_pages/Standard%20pulse%20oximetry.pdf

EKG's have a similar break out...one coe for interp and report, one for tracing only and one for interp only.

I would suspect there is the same for O2 sats.

http://www.qrsdiagnostic.com/194050.ihtml

CPTCode

ComponentCode

Description

National Fee

93000

93005,93010,93040, 93041,93042

Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report.

$22.96

93005

93040, 93041,93042

Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report.

$14.54

93010

93040, 93041,93042

Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only.

$8.43

93040

93041, 93042,93268

Rhythm ECG, one to three leads; with interpretation and report.

$13.77

93041

Rhythm ECG, one to three leads; tracing only without interpretation and report.

$6.11

93042

92968, 93272

Rhythm ECG, one to three leads; interpretation and report only.

$7.66

I see this for oximetry, but I don't see a separate code for just reading the report.

http://www.qrsdiagnostic.com/194338.ihtml

CPTCode

Component Code

Description

NationalFee

94760

82803,82805,94762

Noninvasive ear or pulse oximetry for oxygen saturation; single determination.

$2.62

94761

82803,82805,94760,94762

Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (Example: During Exercise).

$5.54

94762

82805

Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure).

$28.84

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).

$89.12

94621

Pulmonary stress testing; complex (including measurements of CO2 production, O2 uptake, and electrocardiographic recordings).

$157.11

Locke, MD

[Guest guest]

, does your oximeter record the overnite measurements ? If so, How many measurements does it store?

,

I have always used the 94762. I have a little Nonin wrist pulse oximeter that I loan out for overnight reads. I have never found a code for just the interpretation.

Durango, CO

I do a handful of O2 Saturations.

Not enough to buy a machine, but enough to bill for the interpretation of the report when the local medical supply company faxes it to me.

What is the CPT for the reading part of the Overnight Oxygen Saturation Test?

This gives some info...but not what I'm looking for.

http://www.utmb.edu/compliance/coder_additional_pages/Standard%20pulse%20oximetry.pdf

EKG's have a similar break out...one coe for interp and report, one for tracing only and one for interp only.

I would suspect there is the same for O2 sats.

http://www.qrsdiagnostic.com/194050.ihtml

CPTCode

ComponentCode

Description

National Fee

93000

93005,93010,93040, 93041,93042

Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report.

$22.96

93005

93040, 93041,93042

Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report.

$14.54

93010

93040, 93041,93042

Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only.

$8.43

93040

93041, 93042,93268

Rhythm ECG, one to three leads; with interpretation and report.

$13.77

93041

Rhythm ECG, one to three leads; tracing only without interpretation and report.

$6.11

93042

92968, 93272

Rhythm ECG, one to three leads; interpretation and report only.

$7.66

I see this for oximetry, but I don't see a separate code for just reading the report.

http://www.qrsdiagnostic.com/194338.ihtml

CPTCode

Component Code

Description

NationalFee

94760

82803,82805,94762

Noninvasive ear or pulse oximetry for oxygen saturation; single determination.

$2.62

94761

82803,82805,94760,94762

Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (Example: During Exercise).

$5.54

94762

82805

Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure).

$28.84

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).

$89.12

94621

Pulmonary stress testing; complex (including measurements of CO2 production, O2 uptake, and electrocardiographic recordings).

$157.11

Locke, MD