Wiki Billing for Sleepiness Scale and Fatigue Severity scale

[dtricia]

I have a provider who captures the ESS and Fatigue scale that are administered with CPT 96127 Behavioral assmt W/score and Docd/standard instrument. Typically this code is used for Depression/Anxiety screening. I do no typically code for the Sleep Study doc but this seems like a misuse of the code. Is there a different way to capture the admin of these tools?

 

[jkyles]

Can you give more detail on what the doctor is trying to do? If they using it to diagnose a medical condition that is not an appropriate use of the code per CPT Assistant.

 

[dtricia]

He is not using as diagnostic tool, but assessing how he is responding to use of CPAP machine. I do not think this code was intended to capture these assessments. They are not behavioral related.