Billing and Coding: Noninvasive Ear or Pulse Oximetry For Oxygen Saturation

Noninvasive ear or pulse oximetry (CPT 94760, 94761) is covered when ordered by a clinician and medically necessary per LCD L33923, with documentation supporting the ICD-10 diagnosis and the service performed. CPT 94760/94761 carry a T-status and are bundled into other physician fee schedule services billed the same date by the same provider; non-covered services must not be billed as covered and require appropriate modifiers.

"Noninvasive ear or pulse oximetry (CPT 94760, 94761) is covered when ordered by a physician or non-physician practitioner and determined medically necessary per LCD L33923."

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