Cpt Codes: Tips To Boost Your Actigraphy Coding Claims
In 2009, you saw the introduction of the CPT code for actigraphy
. This means that payers should start accepting this code. Since its debut last year, youve been entitled to get pay ups when you bill the actigraphy procedure appropriately.
Background: In August last year, a new national coverage determination (NCD) set by Medicare took effect. It allows for coverage of the sleep testing devices which include actigraphy under specific terms.
Type 1 PSG when the test is carried out in a sleep lab facility.
Type II or Type III if carried out unattended in or out of a sleep lab facility or attended in a sleep lab facility, or
Type 1V measuring three or more channels, one of which is airflow, if carried out unattended in or out of a sleep lab facility or attended in a sleep lab facility.
According to experts, further studies should be conducted to determine the safety and effectiveness of actigraphy for the diagnosis and treatment of obstructive sleep apnea. Nonetheless, feel free to report 95803 as long as you can prove medical necessity.
Here are a few facts about actigraphy coding:
Relax your 95803 payment standards
Dont base your charges on per day basis
Break out of the professional portion
For more tips to boost your actigraphy coding claims and the entire CPT code list, sign up for a one-stop Medical Coding website. Such a site comes loaded with official descriptors and guidelines for all CPT code so that you dont land yourself in a soup while coding. So go for one and work towards achieving your reimbursement goals.