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29 sie 2019 · The billing and coding information in this article is dependent on the coverage indications, limitations and/or medical necessity, and documentation requirements described in the associated LCD L36839 Polysomnography and Other Sleep Studies.
This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, similar codes and billing examples.
1 mar 2018 · For accurate coding, 95800, 95801, and 95806 must include six hours of recording time. If fewer than six hours is obtained, or oxygen saturation is inadequate for interpretation, append modifier 52 Reduced services to the code to indicate a reduced service with subsequent reimbursement reduction.
Overview. Obstructive sleep apnea (OSA) is the collapse of the oropharyngeal walls and the obstruction of airflow occurring during sleep. Diagnostic tests for OSA have historically been classified into four types.
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. Subscribe to Codify by AAPC and get the code details in a flash.
9 gru 2023 · Learn about the importance of modifiers in medical coding, specifically focusing on modifiers 26, 52, and 53 for CPT code 95806. Discover how these modifiers impact billing for sleep studies and ensure accurate claims processing.
3 paź 2018 · For a study to be reported as polysomnography (PSG), sleep must be recorded and staged and directly attended by a qualified technologist. Report with modifier 52 if less than 6 hours of recording or in other cases of reduced services. CPT codes 95782, 95783, 95808, 95810, and 95811 include sleep staging.
