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IS ANY ONE HAVING DIFICULTY GETTING PAID FOR HOME SLEEP TEST

Salma Posted Mon 25th of July, 2011 22:09:34 PM

CPT CODE 95806 MOD 26 DIAG 780.53, 780.54, 780.79 WHAT'S THE LOWEST REIMBUSEMENT RATE.

THANKS

SK

SuperCoder Answered Tue 26th of July, 2011 10:11:22 AM

95806:(Description): Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, unattended by a technologist.
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2011 National Average Medicare Fee Schedule (subject to change) = $182.11 (TC: $119.26; -26: $62.86)
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What physicians need to know: "ApneaLink Plus with oximetry" measures four channels: respiratory flow, pulse rate, oxygen saturation and respiratory effort. It is best to check with payors directly to verify if the payor prefers G0399 or CPT code 95806 for Type III devices.

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