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Reader Questions: Avoid Double Billing for Unattended Sleep Studies
Question: Can we bill G0399 and 95806-26 together on the same claim? One of our providers says we can state G0399 is the “equipment code” while 95806-26 covers the physician’s interpretation of the study.
Massachusetts Subscriber
Answer: You cannot bill the codes on the same claim as you’ve assigned them in your question. Codes G0399 (Home sleep test (HST) with type III portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation) and 95806 (Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort...
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