How To Use CPT Code 94775

CPT 94775 describes the procedure for pediatric home apnea monitoring event recording, specifically the attachment and disconnection of the monitor. This article will cover the description, official details, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 94775?

CPT 94775 can be used to describe the technical component of a service where a provider attaches a home apnea monitor to a pediatric patient for the purpose of recording respiratory rate, pattern, and heart rate. This code represents the attachment and disconnection of the monitor and should be reported once for each 30-day time period.

2. Official Description

The official description of CPT code 94775 is: ‘Pediatric home apnea monitoring event recording including respiratory rate, pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up, initiation of recording and disconnection).’ This code represents the technical component of the service only.

3. Procedure

1. A provider attaches a home apnea monitor to a pediatric patient.
2. The provider sets the device to record data, including respiratory rate, pattern, and heart rate.
3. At the end of the recording period (30-day time period), the provider disconnects the patient from the monitor.

4. Qualifying circumstances

CPT 94775 is used when a provider attaches a home apnea monitor to a pediatric patient for the purpose of recording respiratory rate, pattern, and heart rate. This code represents the technical component of the service only and should not be reported with modifier 26 (Professional component) or TC (Technical component).

5. When to use CPT code 94775

CPT code 94775 should be used when a provider attaches a home apnea monitor to a pediatric patient for the purpose of recording respiratory rate, pattern, and heart rate. It should be reported once for each 30-day time period.

6. Documentation requirements

To support a claim for CPT 94775, the provider must document the following information:

• Patient’s age and indication for home apnea monitoring
• Date of monitor attachment and disconnection
• Specific data recorded, including respiratory rate, pattern, and heart rate
• Signature of the provider performing the attachment and disconnection

7. Billing guidelines

When billing for CPT 94775, ensure that the provider is reporting the technical component of the service only. Modifier 26 (Professional component) and TC (Technical component) should not be appended to this code. To report the additional technical work of monitoring and downloading the data for computer analysis, the rendering provider should report CPT code 94776. To report the professional component only, the rendering provider should report CPT code 94777.

8. Historical information

CPT 94775 was added to the Current Procedural Terminology system on January 1, 2007. There have been no updates to the code since its addition.

9. Examples

1. A provider attaches a home apnea monitor to a 6-month-old infant for a 30-day recording period to monitor respiratory rate, pattern, and heart rate.
2. A provider attaches a home apnea monitor to a 3-year-old child with a history of apnea episodes for a 30-day recording period to monitor respiratory rate, pattern, and heart rate.
3. A provider attaches a home apnea monitor to a 10-year-old patient with suspected sleep apnea for a 30-day recording period to monitor respiratory rate, pattern, and heart rate.
4. A provider attaches a home apnea monitor to a 1-month-old premature baby for a 30-day recording period to monitor respiratory rate, pattern, and heart rate.
5. A provider attaches a home apnea monitor to a 5-year-old patient with a known heart condition for a 30-day recording period to monitor respiratory rate, pattern, and heart rate.
6. A provider attaches a home apnea monitor to a 2-year-old child with a history of apnea episodes for a 30-day recording period to monitor respiratory rate, pattern, and heart rate.
7. A provider attaches a home apnea monitor to a 8-month-old infant for a 30-day recording period to monitor respiratory rate, pattern, and heart rate.
8. A provider attaches a home apnea monitor to a 4-year-old patient with suspected sleep apnea for a 30-day recording period to monitor respiratory rate, pattern, and heart rate.
9. A provider attaches a home apnea monitor to a 6-year-old child with a history of apnea episodes for a 30-day recording period to monitor respiratory rate, pattern, and heart rate.
10. A provider attaches a home apnea monitor to a 9-month-old infant for a 30-day recording period to monitor respiratory rate, pattern, and heart rate.