How To Use CPT Code 94776

CPT 94776 describes the process of reviewing the results of a pediatric home apnea monitoring event recording, including respiratory rate, pattern, and heart rate, over a 30-day period. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.

1. What is CPT Code 94776?

CPT 94776 can be used to describe the service of reviewing the results of a pediatric home apnea monitoring event recording. This service includes monitoring, downloading information, receiving transmissions, and computer analyses of the recorded data. It covers a 30-day period and focuses on parameters such as respiratory rate, pattern, and heart rate.

2. Official Description

The official description of CPT code 94776 is: ‘Pediatric home apnea monitoring event recording including respiratory rate, pattern, and heart rate per 30-day period of time; monitoring, download of information, receipt of transmission(s), and analyses by computer only.’

3. Procedure

1. The pediatric patient wears apnea equipment that monitors their heart rate and respiration during unattended periods and sleep.
2. The provider reviews the results of the apnea equipment via a computer.
3. This service includes monitoring the respiratory rate, pattern, and heart rate recorded by the apnea equipment.
4. The provider downloads the information from the apnea equipment for further analysis.
5. The provider receives any transmissions of the recorded data.
6. The computer performs analyses of the recorded data, providing insights into the patient’s respiratory rate, pattern, and heart rate.

4. Qualifying circumstances

CPT 94776 is applicable to pediatric patients who require home apnea monitoring. The service is specifically focused on reviewing the parameters of respiratory rate, pattern, and heart rate. The provider must use a computer for the analyses, and the service covers a 30-day period.

5. When to use CPT code 94776

CPT code 94776 should be used when a provider needs to review the results of a pediatric home apnea monitoring event recording. It is appropriate when the service includes monitoring, downloading information, receiving transmissions, and computer analyses of the recorded data. This code is specific to a 30-day period and focuses on respiratory rate, pattern, and heart rate parameters.

6. Documentation requirements

To support a claim for CPT 94776, the provider must document the following information:

• The need for pediatric home apnea monitoring
• The specific parameters being reviewed, such as respiratory rate, pattern, and heart rate
• The duration of the 30-day period
• The details of the monitoring, downloading, receiving transmissions, and computer analyses
• Any additional findings or observations from the recorded data
• The provider’s signature

7. Billing guidelines

When billing for CPT 94776, ensure that the service includes the monitoring, downloading of information, receipt of transmissions, and computer analyses. It is important to note that this code should not be reported with other codes such as 94774 or 94775, which cover additional services related to apnea monitoring. Additionally, if only the professional component of the service is being provided, CPT code 94777 should be used instead.

8. Historical information

CPT 94776 was added to the Current Procedural Terminology system on January 1, 2007. There have been no updates or changes to the code since its addition.

9. Examples

1. A provider reviews the results of a pediatric home apnea monitoring event recording, analyzing the respiratory rate, pattern, and heart rate over a 30-day period.
2. During the service period, the provider monitors the recorded data, downloads the information, and receives transmissions for further analysis.
3. The computer performs detailed analyses of the recorded data, providing insights into the patient’s respiratory rate, pattern, and heart rate.
4. Based on the results, the provider makes recommendations for further treatment or adjustments to the patient’s care plan.
5. The provider documents the findings and observations from the recorded data, ensuring a comprehensive report for the patient’s medical record.
6. Another provider reviews the results of a different pediatric home apnea monitoring event recording, focusing on the respiratory rate, pattern, and heart rate parameters.
7. Throughout the 30-day period, the provider closely monitors the recorded data, ensuring accurate and reliable information for analysis.
8. The computer performs sophisticated analyses of the recorded data, identifying any abnormalities or patterns that require attention.
9. Based on the analyses, the provider collaborates with other healthcare professionals to develop an appropriate treatment plan for the patient.
10. The provider presents a detailed report of the findings and recommendations, ensuring comprehensive documentation of the service provided.