maganr
New
Does anybody have any substantial information in writing regarding the fact that you cannot bill the EEG interpretation separate from the PSG study as the EEG interpretation is included in the PSG study?
I've already presented the NCCI edits reflecting these code pairs as bundled but apparently this is not substantial enough!
My employer is having a hard time understanding that there is an EEG included with the PSG study and that it should not be billed separately. There stance is because a pulmonary doctor is billing for the PSG with a TC modifier and a neurologist is billing for the EEG with a 26 modifier that they are independent of one another and thus ok but I disagree as their EEG documentation states "EEG for PSG".
Any help would be greatly appreciated!
Thanks, Magan R
I've already presented the NCCI edits reflecting these code pairs as bundled but apparently this is not substantial enough!
My employer is having a hard time understanding that there is an EEG included with the PSG study and that it should not be billed separately. There stance is because a pulmonary doctor is billing for the PSG with a TC modifier and a neurologist is billing for the EEG with a 26 modifier that they are independent of one another and thus ok but I disagree as their EEG documentation states "EEG for PSG".
Any help would be greatly appreciated!
Thanks, Magan R