We have a pulmonology doctor who is coding 94660 for a CPAP initiation along with an office visit. He is using a diagnosis code like sleep apnea for the CPAP and is using a specific diagnosis code for patients symtoms other than sleep apnea (as patients have other issues when coming in to the office). We are getting denied the office visit from Medicare stating that the office visit is included in the CPAP. We cannot use a modifier with the office visit according to CCI edits. We are looking for some guidance regarding these charges please.