Is Pulse Oximetry Separately Billable?

Pulse oximetry represents a fundamental component of the assessment services provided to a patient during a procedure and therefore is not separately reimbursable.

Can you bill for a pulse oximeter?

Question: Can I bill for pulse oximetry in the emergency department? Answer: The short answer is no. Even though you cannot bill for the pulse ox CPT code, you frequently can use the information obtained from pulse oximetry as part of your medical decision making.

Are pulse oximeters covered by insurance?

Pulse oximeters

Some private insurance plans do cover pulse oximetry services. For instance, Aetna's Medicaid plan in Pennsylvania considers pulse oximetry for home use a coverable service under specific diagnostic criteria such as chronic lung disease.

Elena Rostova

Elena Rostova

Lead Health, Wellness & Medical Journalist

Elena Rostova holds a Master's degree in Public Health Journalism. She covers groundbreaking medical research, holistic wellness trends, mental health awareness, and nutritional science.