Oximetry is considered for payment when:
It is performed at the physician’s office or at the patient’s home for the following conditions:
– Failure to Thrive
– Cardiac Congestive Failure
– Lung Fibroquistic Disease
– Asthmatic state
– Bronchiectasia
– Alveolitis
– Chronic Obstructive Asthma
– Patients using oxygen at home
Oximetry is not considered for payment when:
1. It is performed at an ambulatory surgery facility or in a hospital because they are included in their per diem.
2. It is used under supervision for intravenous sedation at the office.
3. Used with surgical procedures classified as Type 2 and is performed in the office, for it is considered a necessary element or factor to perform the procedure.
The values obtained must be documented in the clinical file. Other obstructive condition will be evaluated on its merit for payment.
