AAPC - Back to school
Results 1 to 2 of 2

Thread: Pos for home sleep studies

  1. #1
    Join Date
    Apr 2007
    Harrisburg, PA

    Unhappy Pos for home sleep studies

    AAPC: Back to School
    Can anyone please help me with the billing of home sleep studies. My physician reads these studies in the outpatient department of the hospital. I have tried billing 95806/26 with a place of service as outpatient and medicare is denying stating treatment deemed by payer as rendered in unappropriate/invalid place of service. I have also tried G0399/26 with a place of service as outpatient and this is also being rejected stating unappropriate/invalid place of service. Does this need to be billed as patient's home even though physician is reading these in an outpatient setting?

  2. #2


    I do DME but work with a lot of doctors who perform sleep studies & as far as I know, the place of service is 12 (home) for at least the tech component part - for the actual sleep study event took place at their home.

    Here's an article I came across that might help (granted it's for a IDTF but hopefully it'll help) http://respiratory-care-sleep-medici...p-Testing.aspx

Similar Threads

  1. Home Sleep Studies
    By ashive7431 in forum Billing/Reimbursement
    Replies: 0
    Last Post: 02-07-2014, 08:23 AM
  2. Home Sleep Studies
    By labcma@msn.com in forum Neurology/Neurosurgery
    Replies: 1
    Last Post: 03-12-2013, 09:02 AM
  3. Sleep Studies Done at Home
    By Donna T in forum Neurology/Neurosurgery
    Replies: 2
    Last Post: 05-16-2012, 01:44 PM
  4. POS For Billing Home Sleep Studies G0399
    By JSimpson in forum Billing/Reimbursement
    Replies: 1
    Last Post: 06-20-2011, 10:43 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.