Wiki sleep study - equipment and walks

[ktuell]

If a patient becomes angry, rips off all the equipment and walks out after just 2 hrs during a sleep study, can the study be charged? Would a modifer be needed?

 

[tdml97@yahoo.com]

You should be able to bill it - need mod either = 52-reduced services, 53-discontinued procedure.

hope this helps.

 

[bethdeak]

What CPT code are you using? I believe there is a note under CPT 95810 that says if the test is under six hours, a -52 modifier may be appended. I'm not in my office so I don't have the book handy. You might also want to check local LCD guidelines for your area.


I know that split studies used to require a 3 hour minimum, I believe that is CPT 95811.