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Pulmonology Coding Alert

Sleep Study:

Overlooking Polysomnography Documentation Requirements Could Mean a Claim Nightmare

Published on Thu Aug 18, 2011

CPTs 95808-95811 depict a sleep staging process with 3 basic components. Find out what they are.Do you want to ensure payment for any treatment your physician performs on a patient with sleep-related problems? Remember, documentation is key. Accurate sleep study documentation will support the existence of a sleep disturbance, but you should follow some protocols. These two scenarios will provide tips on how to breeze through these protocols effortlessly -- and enjoy your deserved reimbursement.95811 Overrides Diagnostic Sleep Study Code 95810Scenario 1: A pulmonologist performs a diagnostic sleep study on Day 1 for a patient with suspected OSA, but decides not to employ the split-night method given the lack of observed REM sleep. She, then, asks the patient to come back the next night to do titration study. How should you report this?If you have the patient come back the next night -- or a few nights after, even weeks later -- to [...]
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