Question:
How should a split-night study be coded? Can the diagnostic portion and titration portion of a single study be billed separately?
Answer:
It is not appropriate to bill the diagnostic portion and titration portion of a study separately. Doing so would be billing for two procedures, when only one was performed. There is no separate CPT® code for a split-night study. The following is the appropriate code for a split-night study and a PAP titration study.
95811 | Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist |
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This question was answered in our Respiratory Therapy Reimbursement & Compliance Update. For more hot topics relating to respiratory therapy services, please view our store, or call us at 1.800.252.1578 ext. 2.