• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Home Sleep Tests-I work for a

Create Wiki
M

michelleperez21@hotmail.com

Guest
Messages
10
Best answers
0
:confused: Help!!
I work for a sleep lab and we are considering adding Home Sleep Tests to our options available. We were told by the company who we recieved units from, Watermark, that the code to bill medicare is G0400 level II, and the code to bill commercial carriers is 95806,sleep study unattended. There are three G codes, G0398(Level IV), G0399( Level III) and G0400(Level II).
I checked the LCD's and they do list all codes under CPT and HCPCS,and but do not list 95806 under medically necessary approved. Our credentialing person said that the 95806 was in our fee schdule and our contract. They are adding all G codes and 9 codes to contract.
I have called Medicare for clarifcation on LCD article and they said they show 95806 and the G codes as active and cannot direct us on which code to bill.
If anyone has any idea or suggestions on which codes to use or a Medicare phone number I can contact to get some clarification, that would be great! Most appreciated,
Michelle
 
You must log in or register to reply here.
Top