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Sleep Study CPT Coding for sleep apnea

Terri Posted Thu 22nd of March, 2012 19:21:36 PM

Could I charge a 99211 for instructing the patient on how to use the machine?

SuperCoder Answered Thu 22nd of March, 2012 20:52:51 PM

Code 99211 requires a face-to-face patient encounter; however, when billed as an “incident to” service, the physician’s service may be performed by ancillary staff and billed as if the physician personally performed the service. For such instances, all billing and payment requirements for “incident to” services must be met.

As with all services billed to Medicare, code 99211 services must be reasonable and necessary for the diagnosis or treatment of an illness or injury. Unlike the other E/M CPT codes, the CPT book does not specify completion of particular levels of work for code 99211 in terms of key components or contributory factors. Also, unlike the other E/M codes, CMS did not provide documentation requirements for code 99211 in the “E/M Documentation Guidelines.”

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