Sunday, June 27, 2010

Billing for Sleep Studies

I recently received an email asking about billing globally for sleep studies vs billing the professional and technical components separately. I came across this reference today:

http://www.arkmedicare.com/provider/viewarticle.aspx?articleid=8365

CPT 95805: Multiple sleep latency or maintenance of wakefulness testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness.
CPT 95810: Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist.
CPT 95811: Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level ventilation, attended by a technologist.


If a provider bills for the codes listed above without modifiers, the technical AND professional components are included in payment. If the professional component was not provided by a facility, the facility should bill the code using the TC modifier and the interpreting physician may bill with the -26 modifier. If the facility employs a provider who performs the professional component, then the facility may bill for the global code (without a modifier or the code with the -26 AND -TC modifiers).

4 comments:

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thuốc tốt said...

Mất ngủ là bệnh phổ biến hiện nay và bất cứ ai cũng có thể mắc phải và những bà bầu cũng không thoát khỏi cảnh bị bệnh mất ngủ . mất ngủ có ảnh hưởng đến thai nhi không là câu hỏi được nhiều người hỏi. Vậy nguyên nhân mất ngủ khi mang thaihay buồn ngủ là bệnh gì. Vậy có cách chữa bệnh mất ngủ hiệu quả nhất , cách trị chứng mất ngủ hiệu quả và an toàn nhất . Cùng đi tìm hiểu nhé.

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