Author Topic: sleep studies  (Read 677 times)

sls

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sleep studies
« on: January 24, 2017, 07:14:38 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?

Michele

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Re: sleep studies
« Reply #1 on: January 24, 2017, 08:51:32 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.
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sls

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Re: sleep studies
« Reply #2 on: January 24, 2017, 11:59:41 AM »
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.

Michele

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Re: sleep studies
« Reply #3 on: January 25, 2017, 11:07:08 AM »
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.
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Sriram_Sub

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Re: sleep studies
« Reply #4 on: January 31, 2017, 09:12:50 AM »
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
Sriram