Respiratory Question for the Week of December 13, 2021

Question:

For sleep studies, does Medicare provide reimbursement for an unattended service?

Answer:

Medicare has recognized the unattended service for reimbursement under OPPS (see code 95806). Be sure and check with your payer for medical necessity requirements and coverage of the unattended sleep study in the outpatient setting.

This question was answered in our Coding Essentials for RT/Pulmonary Function. For more hot topics relating to respiratory services, please visit our store or call us at 1.800.252.1578, ext. 2.

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