94760
Pulse Oximetry, Single Determination
Code Description
CPT code 94760 is used to report a single noninvasive measurement of oxygen saturation using ear or pulse oximetry. A sensor is typically placed on a finger, toe, or earlobe to measure peripheral oxygen saturation without collecting an arterial blood sample.
The test provides a rapid assessment of a patient's oxygenation status and may be used when evaluating respiratory or cardiac symptoms. Billing rules require particular attention because the service may be bundled when reported with other payable physician services, depending on payer policy and the circumstances of the claim.
When to Use 94760
Common examples include:
Shortness of breath
Suspected hypoxemia
Acute respiratory symptoms
Evaluation of chronic lung disease
Monitoring oxygenation status
Assessment during oxygen therapy
Evaluation of certain cardiac or pulmonary conditions
Documentation Requirements
Documentation should include:
Reason for the pulse oximetry measurement
Relevant symptoms or diagnosis
Oxygen saturation result
Supplemental oxygen use, when applicable
Clinical circumstances supporting medical necessity
Appropriate medical record documentation
CMS guidance requires supporting documentation to be maintained in the patient's medical record and made available when requested.
Common Billing Mistakes
Common billing mistakes include:
Reporting 94760 for multiple determinations
Using 94760 for overnight oximetry
Billing the service separately when it is bundled under payer rules
Reporting Modifier 26 or TC with the code
Failing to document medical necessity
For Medicare billing, CPT 94760 may be bundled when another physician fee schedule service is billed on the same date by the same provider. Overnight oximetry is reported with CPT 94762 rather than 94760.
Related CPT Codes
94010
Spirometry
94640
Inhalation Treatment
93000
Electrocardiogram (ECG)
FAQ
What does CPT code 94760 cover?
CPT code 94760 reports a single noninvasive determination of oxygen saturation using ear or pulse oximetry.
What is the difference between CPT 94760 and 94761?
CPT 94760 is used for a single determination of oxygen saturation, while CPT 94761 is used for multiple determinations under the applicable coding requirements.
Is CPT 94760 used for overnight pulse oximetry?
No. CMS billing guidance states that overnight oximetry should be reported with CPT 94762.
Can Modifier 26 or TC be used with CPT 94760?
No. CPT 94760 does not have separate professional and technical components, so Modifier 26 and TC are not appropriate for this code.
Procedure Type
Pulmonary Diagnostic Testing
Test Type
Measurement
Pulse Oximetry
Single Determination
