2025 CPT code 94760
Effective Date: N/A Medicine - Pulmonary Procedures Feed
Noninvasive ear or pulse oximetry for oxygen saturation; single determination.
Modifiers may be applicable to 94760 in certain situations, such as reduced services (modifier -52), discontinued procedure (modifier -53), or distinct procedural services (modifier -59). Refer to current CPT guidelines.
Medical necessity for pulse oximetry must be supported by documentation of a clinical condition that warrants assessment of oxygen saturation. Examples include respiratory distress, suspected hypoxemia, or monitoring during and after a procedure.
The clinician places a sensor on the patient's fingertip or earlobe. The sensor measures the oxygen saturation by using light. The sensor transmits the data to a device that displays the result.
In simple words: A simple, non-invasive test that measures the oxygen level in your blood using a sensor clipped to your ear or finger.
This code represents a single determination of oxygen saturation using a noninvasive ear or pulse oximeter. The procedure involves placing a sensor on the patient's earlobe or fingertip. This sensor uses light to measure the oxygen saturation in the blood.
Example 1: A patient presents to the emergency department with shortness of breath. Pulse oximetry is performed to assess oxygen saturation levels., A patient with chronic obstructive pulmonary disease (COPD) undergoes routine pulse oximetry monitoring during a clinic visit., A patient recovering from surgery requires continuous pulse oximetry monitoring to ensure adequate oxygenation.
Documentation should include the oxygen saturation reading, the method used (ear or pulse oximetry), and the clinical indication for the test.
** Many payers may bundle pulse oximetry into other services, so it's essential to check payer policies. Review codes 94760-94762 to ensure accurate code selection. CPT guidelines indicate that if a separate E/M service is performed, the appropriate E/M code may be reported in addition to 94760.
- Revenue Code: T2D - OTHER TESTS - OTHER