CPT^® 95806, Under Sleep Medicine Testing Procedures

The Current Procedural Terminology (CPT^®) code 95806 as maintained by American Medical Association, is a medical procedural code under the range - Sleep Medicine Testing Procedures.

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Summary

A technologist is not in attendance during this sleep study, which involves measuring several parameters while the patient sleeps in a clinic or sleep lab to help diagnose sleep disorders.

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Sleep Studies, G0399 to Medicaid

I'm looking for some input on using G0399. Our clinic is only getting reimbursed for G0399, when billed to Medicaid, if it is "split". We code G0399-TC (POS home) and G0399-26 (POS office). Is anyone ... [ Read More ]

Sleep study -Can 95806 be billed twice? home sleep study sleep study coding

New to pulmonary coding- Patient had a sleep study. Physician billed 95806 with mod 26 twice one is being denied as duplicate. No G code was billed. Can 95806 be billed twice? Is a G code also needed... [ Read More ]

G0399 with or without Modifiers

At the sleep facility I work at we provide the patient with the home sleep study unit and the instructions on how to use the equipment. We send the results of the home sleep study to the pulmonologist... [ Read More ]

Humana denial of unattended sleep study

I need help!! Humana has denied several claims for the diagnosis is inconsistent with the procedure. The procedure code is 95806 and the diagnosis code is G47.8. We've even billed procedure code G03... [ Read More ]

SLEEP MEDICINE REIMBURSEMENT

G0399 CAN NOT BE BILLED WITH A MODIFIER IT IS A GLOBAL CODE BILL G0399 BY ITSELF AND 95806 W 26... [ Read More ]

BILLING SLEEP STUDIES (HST)

DOES ANYONE KNOW THE CORRECT POS WHEN BILLING G0399 (HST)? THE INSTRUCTIONS ARE GIVEN TO THE PATIENT IN THE OFFICE BUT THE KIT IS TAKEN HOME. WE USUSALLY BILL G0399 FOR OUR TC, POS BEING HOME. AND 95... [ Read More ]

SLEEP MEDICINE REIMBURSEMENT

I NEED TO VERIFY SLEEP MEDICINE PROCEDURE CODES - I USE G0399 WITH MODIFIER 26 AND 95806 MOD 26 BUT CAN ONLY GET PAID FOR ONE PROCEDURE PROCEDURE CODE G0399 DONE AT HOME WITH PLACE OF SERVICE 12 A... [ Read More ]

Billing for Home Sleep Test

When billing for the 95806 Home Sleep Test unsupervised, what date is used when billing globally?... [ Read More ]

home sleep studies

When coding a unattended sleep study done in ambulatory setting which cpt code should I use for the following documentation: 95800 or 95806? HOME SLEEP TESTING Procedure date: July 25, 2019 Introdu... [ Read More ]

Sleep Medicine Reimbursement

I am trying to get information on reimbursement on CPT codes 95810 – Adult in lab test 95811 – Adult in lab test 95806- Home sleep test As related to the changes that the American Academy of S... [ Read More ]

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