Neurology & Pain Management Coding Alert

Tip: Don't forget to check for add-on modifier opportunities.Correctly coding diagnostic sleep tests depends partly on the sleep lab's credentials and physical location (or place of service, POS) and partly on the physician's ownership and service. Read on for simple comparisons and tips that will help you choose the right POS and modifier mix every time.Base knowledge: Physicians can bill for services in diagnostic sleep testing in one of several ways. Your choices are:POS 11 -- OfficePOS 21 -- Inpatient hospitalPOS 22 -- Outpatient hospitalPOS 49 -- Independent clinicPOS 15 -- Mobile unit.Bill All Components for Office ServicePhysicians providing services in their offices bill for the entire global service, including both the technical and professional components. You'll report POS 11 and the appropriate CPT® code without a modifier, such as 95810 (Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist).Key: The physician must rent or own the facility and [...]