Question:
Do you have any tips for billing 95803?
Answer:
Understand that actigraphy measures the movement of a limb. This movement can be measured as part of a sleep test, but the procedure will not be paid for separately in addition to the sleep study. Accurate gathering of information regarding movement during expected sleep time requires recording data over an extended period as defined by the CPT® code. Note that billing a reduced service is communicated to the payer by appending modifier 52.
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.
CPT® copyright 2024 American Medical Association (AMA). All rights reserved.
Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
CPT is a registered trademark of the American Medical Association.
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