Medical Billing for Sleep Medicine & CPAP
Sleep Medicine has been an evolving specialty of medicine for years. The reimbursement for studies has fallen considerably, so it is vital to have a medical billing company who knows the ins and outs of sleep medicine billing.
MPMR works with lots of sleep centers, and has experts in medical billing for sleep medicine and CPAP devices. MPMR also assists with credentialing and contracts as well, so there are significant value added services.
Billing for Sleep Medicine Procedures
Sleep Medicine is the area of study of sleep disorders and is a relatively new area of study, and as such, the coding for diagnosing sleep disorders changes almost every year. Under the ICD-10, there are various procedures that fall into the category of sleep medicine.
For instance, if a physician orders a measurement of a patient’s sleep patterns, the billing code would be 4A0ZXQZ. The “4” represents the section of the ICD-10 entitled Measurement and Monitoring. The “A” signifies that the body system is under Physiological Systems. The “0” stands for measurement, and the “Z” represents that there is no specific body part on which the procedure is being performed.
The “X” signifies that the approach to this measurement procedure is an external one, meaning that there are no instances of cutting the skin in order to perform the procedure. The “Q” indicates that there is no permanent or semi-permanent device being used to measure the patient’s sleep.
If there was a situation in which sleep would need to be measured using a device that is left in the body (highly unlikely), then it would be coded differently under the medical and surgical section of coding. The “Z” indicates that there are no other qualifiers for this particular procedure.