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what place of service code to use for in-house credentialed sleep lab?

  1. #1
    Default what place of service code to use for in-house credentialed sleep lab?
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    Te practice has a credentialed sleep lab in office, and they are performing monitored polysomnography. They are getting many denials for POS when 95810 & 95811 are submitted with POS 11.

    The lab is not affiliated with a hospital, but it is under the direction and control of a physician. Is this a case of the POS being wrong, or should the AR department prepare standard documentation and be ready to file lots of appeals?

  2. #2
    Here is a list of the POS codes from Medicare:

    I think what you describe closely resembles POS 49, but you should definitely contact your payers to find out if that is what they are looking for.
    Carol Gaston CPC CRC CPCO

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