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Neurology & Pain Management Coding Alert

Sleep Studies:

Confirm Test Details and Sleep Parameters Before Coding Split Study

Published on Thu Jun 09, 2011

Hint: Testing versus treatment draws the line between 95810 and 95811.A split night sleep study is one way for physicians to potentially diagnose and begin treating a patient's sleep problem in the same night. You must meet certain criteria before reporting the study, however, so read on for tips on how to keep your split night claims on track.Verify Documentation Supports Split StudyDuring a split night study, the patient comes in and begins the test as usual. If moderate or severe sleep apnea is discovered or strongly suspected during the first part of the night's study, the second half of the night can be used to determine the necessary CPAP pressure required to alleviate the patient's apnea.Key: "The patient must meet the protocol for the technician to use a CPAP while there's still enough time to titrate the appropriate levels for the patient," says Jill Young, CPC, CEDC, CIMC, owner [...]
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