Wiki Bundled or Unbundled?

[meagan.murphy330@gmail.com]

Hello I have two questions regarding CPAP initiation and management. I work for a Neurologist who specializes in Sleep Studies. If a patient comes in to have the compliance read on their CPAP machine and that is the sole purpose of the visit, should there be an additional E/M code along with CPT code 94660 or is the visit included in that code alone?

My second question is what if the visit is done via Telehealth?

 

[jkyles]

Hi there,
Question 1: No. You would only report a separate E/M service if it was a distinct and separate visit.
Question 2: No. The same essential coding rules apply to telehealth services. Make sure that the payer allows 94660 by telehealth.

 

[OpenClaims]

JKyles is correct. If the provider is only providing services for the reading of the CPAP, then there is no E/M justified. If the provider were to address other conditions in addition to reading the CPAP, then an E/M may be justified depending on the documentation.

 

[jkyles]

Just to clarify, the condition addressed doesn't have to be a chronic condition.