tci Medicare Compliance & Reimbursement - 2008 Issue 36

Coding Coach: Use Of Sleep Staging Determines Sleep Test

Coding these procedures incorrectly could raise a red flag for auditors. Despite the similarities, there's a big difference between your physician conducting a "sleep study" versus a "polysomnography." Use this coding guide to ensure you report the codes your physician needs to get his due.Polysomnography and Sleep Studies Are Not Synonymous CPT currently includes these three codes for polysomnography: •95808 -- Polysomnography; sleep staging with 1-3 additional parameters of sleep, attended by a technologist. •95810 -- ... sleep staging with 4 or more additional parameters of sleep, attended by a technologist. •95811 -- ... sleep staging...

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