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Wiki Home sleep study

Messages
2
Location
Gainesville, GA
Best answers
0
We have been getting denials from Medicare for the global charge for CPT 95800 being billed with a place of service 12. All Medicare will say when we call is that the POS 12 is incorrect and to reference our LCD (A56995) in the Group 4 paragraph it says "the office-based technician doing the patient instruction and HST scoring meet the training/credentialing requirements as outlined in the LCD." So does that mean that insurance wants CPT 95800 to be billed with a POS 11? That contradicts the CMS manual that says the POS should be where the technical portion is preformed. Any guidance on this would be much appreciated.
 
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