Medical Billing Forum

Coding => Coding => : sls January 24, 2017, 10:14:38 AM

: sleep studies
: sls January 24, 2017, 10:14:38 AM

i am billing procedures G0399 and 95806- the code 95806 keeps rejecting co58-invalid place of service. using modifier 26 and office. Any ideas?

: Re: sleep studies
: Michele January 24, 2017, 11:51:32 AM

What insurance carrier is it?  Are you having trouble with all or just one?  If is just one I would try calling the insurance carrier to ask for an explanation.  We use POS 11 for 95806 and do not have an issue.

: Re: sleep studies
: sls January 24, 2017, 02:59:41 PM

so far I have seen IBC as the insurance and yes all most everyone I have come across has been denied.  Trying to see if I can find a common demonitor on these rejections.

: Re: sleep studies
: Michele January 25, 2017, 02:07:08 PM

So it is isolated to one insurance carrier.  I would contact them to get a verbal explanation.  If you are not getting this denial with any other carrier it sounds like an issue that may be internal with this carrier.

: Re: sleep studies
: Sriram_Sub January 31, 2017, 12:12:50 PM

Hi Sls,

Just found this on web search. Please check if it could be of use.

https://www.aapc.com/memberarea/forums/108165-home-sleep-study.html

Regards
Sriram