Billing and Coding: Oximetry Services

This billing and coding article provides guidance for oximetry services and refers to LCD L35434 for medical necessity and coverage determinations. Providers must not bill Medicare for services excluded by the LCD as if covered and must append the appropriate modifier when billing non-covered services; overnight oximetry claims should be reported with CPT 94762.

"Do not bill Medicare for oximetry services that are not covered under LCD L35434 as if they are covered."

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