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Ines Posted Wed 26th of April, 2017 16:56:54 PM
When an EEG awake an sleep is planned,the patient is instructed to sleep only half the time he usually does, no caffeine beverages can be use on the day of the study, and recording is performed with patient recumbent , eyes closed and dark environment. even with all this technical efforts the patients may not achieved sleep. would be correct to code 95819 ?Is a guideline available for use of this code on this circumstances and how the report must be written( specifics aspects that have to be included in the report for this code.
SuperCoder Answered Fri 28th of April, 2017 05:16:29 AM

As per general coding guidelines, you shouldn't code the procedure the physician requests, but report what actually occurs during the EEG. If you review the test results and the person was awake and asleep, bill 95819; if the patient didn't fall asleep, bill 95816.

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