Wiki sleep study is done first and then evaluation

[schacon]

Hello,
I do the coding for sleep medicine and often the clinic does the sleep study first 95811 and then a couple days later does the evaluation 99204. But then the 99204 is denied by the insurance as service is not new but establish. My question is if the sleep study is done first should I bill the evaluation as a established visit?

 

[Orthocoderpgu]

How do the patient's get a sleep study without being evaluated by a physician first?

 

[fwnewbie]

I think the evaluation they're talking about is going over the results of the sleep study and not the visit to order the sleep study.

 

[SharonCollachi]

They should have a visit first to determine if a sleep study is needed. That is your new patient visit. Then the sleep study is done, then there is a visit to go over the results.