What determines medical necessity for billing pulse oximetry?
Avoid billing for pulse oximetry services that are better defined as routine monitoring of the patient. Medically necessary pulse oximetry must include in the medical record a physician/practitioner’s documented request with parameters for each measurement. The testing would be expected to have medical indications for the management of a patient’s care.
This question was answered in our Coding Essentials for RT/Pulmonary Function. For more hot topics relating to respiratory therapy services, please visit our store or call us at 1.800.252.1578, ext. 2.