Neurology & Pain Management Coding Alert

Sleep Study:

Stay Alert to Using 95800, 95801 for Some Home Sleep Studies

Caution: Don't ignore previous G codes for some payers.If your physician orders home sleep studies, you've seen a lot of code changes in recent years. Brush up on the different study types -- including knowing when to use new codes 95800 and 95801 -- with the help of this quick update.Differentiate Between Various Study TypesSleep studies fall into four types:Type I is an overnight sleep study at a sleep disorders center that detects obstructive sleep apnea (OSA) and other sleep disorders. Technicians record at least 12 channels of information during the study.Types II, III, and IV studies are home sleep tests to detect OSA. A Type II study records seven or more channels of information; a Type III study records 4 to 7 channels of information; and a Type IV study records 1 to 3 channels of information.Explanation: Using more channels for testing and recording leads to more detailed data capture and a [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.