Dear Provider,

We routinely review our coverage, reimbursement, and administrative policies for potential updates. In that review, we take into consideration one or more of the following: evidence-based medicine, professional society recommendations, Centers for Medicare & Medicaid Services guidance, industry standards, and our other existing policies.

As a result of a recent review, we will update the way we process pulse oximetry claims billed with Current Procedural Terminology (CPT^®) codes 94760, 94761, and 94762. Effective for claims processed on or after February 12, 2022, we will expand our existing policy to include all provider contract types.

We will continue to deny the affected codes as incidental to the primary service(s) provided. Separate reimbursement is not provided when pulse oximetry is billed alone or with additional codes. This does not affect claims with Place of Service 12 (Home).

Modifier overrides are not allowed. Denials will include administrative appeal rights.

Additional information

For more information about our reimbursement policies, log in to the Cigna for Health Care Professionals website (CignaforHCP.com > Resources > Reimbursement and Payment Policies > Reimbursement and Modifier Policies > Reimbursement Policies).

To register, go to CignaforHCP.com > Register. If you would like additional information, please call Cigna Customer Service at 800.88Cigna (882.4462).

Thank you for the care you provide to our customers.