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Pulmonology Coding Alert

Sleep Study:

3 Tips Accelerate Your Actigraphy Coding Claims

Published on Fri Jul 23, 2010

Leaving off this key modifier could mean a disaster.Last year, you saw the introduction of the CPT code for actigraphy, which means that payers should start accepting this code. Since its 2009 debut, you have been entitled to receive pay-ups when you bill the actigraphy procedure -- appropriately, that is.Background: In August 2009, a new national coverage determination (NCD) set by Medicare took effect. It allows for coverage of the sleep testing devices -- which include actigraphy -- under specific terms: Type 1 PSG when the test is attended in a sleep lab facility;Type II or Type III if performed unattended in or out of a sleep lab facility or attended in a sleep lab facility, or;Type IV measuring 3 or more channels, one of which is airflow, if performed unattended in or out of a sleep lab facility or attended in a sleep lab facility.Experts agree that further studies should be conducted [...]
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