Accuracy is vital in medical billing. Errors in coding can not only increase the likelihood that a claim is rejected, but they can also increase the time that it takes to receive collections. On top of that, errors can also flag your sleep center for audits under the suspicion of fraud. Knowing the latest codes and modifiers can help you to avoid such errors.

Sleep Center Code Ranges in 2022

The following are updated CPT codes for sleep center services in 2022:

• 95782 – polysomnography attended by a technologist for a patient younger than six years old with 4 or more additional sleep parameters
• 95783 – polysomnography attended by a technologist for a patient younger than six years old with CPAP therapy or bi-level ventilation with 4 or more additional sleep parameters
• 95800 – unattended sleep study with recording, sleep time, and analysis of oxygen saturation, respiratory and heart rate
• 95801 – unattended sleep study with recording and analysis of oxygen saturation, respiratory and minimum heart rate
• 95803 – actigraphy testing with recording, analysis, interpretation, and a report
• 95805 – sleep latency and wakefulness testing
• 95806 – unattended sleep study with recording of heart rate, oxygen saturation, respiratory effort, and respiratory airflow
• 95807 – sleep study attended by a technologist with recording of ECG, heart rate, ventilation, or oxygen saturation
• 95808 – polysomnography attended by a technologist for a patient of any age with 1-3 sleep parameters
• 95810 – polysomnography attended by a technologist for a patient six years old or older with 4 or more additional sleep parameters
• 95811 – polysomnography attended by a technologist for a patient six years old or older with CPAP therapy or bi-level ventilation with 4 or more additional sleep parameters
• 94660 – CPAP initiation and management
• 99202 – new patient office visit level 2
• 99203 – new patient office visit level 3
• 99204 – new patient office visit level 4
• 99205 – new patient office visit level 5
• 99211 – established patient office visit level 1
• 99212 – established patient office visit level 2
• 99213 – established patient office visit level 3
• 99214 – established patient office visit level 4
• 99215 – established patient office visit level 5
• E0485 – prefabricated oral device to reduce collapsibility of upper airway
• E0486 – custom fabricated oral device to reduce collapsibility of upper airway
• E0601 – CPAP device
• E0470 – bi-level pressure respiratory device with backup rate feature
• E0471 – bi-level pressure respiratory device without backup rate feature
• G0398 – unattended home sleep test with type ii portable monitor
• G0399 – unattended home sleep test with type iii portable monitor
• G0499 – unattended home sleep test with type iv portable monitor

Sleep Center CPT Code Modifiers

CPT code modifiers can help maximize collections by making claims more specific.

• 310 – Not vaccinated against COVID-19
• 311 – Partly vaccinated against COVID-19
• 39 – Indicates any other under-immunized status

Learn more in our guide to sleep center medical billing, or contact us to learn more about our sleep center medical billing services.

To make the most out of your medical billing, it’s essential to be as accurate as possible. Knowing the latest codes and modifiers can help your hospital to be both more accurate and more specific, maximizing potential profits from patient claims.

Hospitalist Code Ranges for 2022

The following are updated CPT codes for hospitalists in 2022:

• 99221 – hospital inpatient care services (new or established patient)
• 99222 – hospital inpatient care services (new or established patient)
• 99223 – hospital inpatient care services (new or established patient)
• 99231 – subsequent hospital care services
• 99232 – subsequent hospital care services
• 99233 – subsequent hospital care services
• 99238 – hospital discharge services
• 99239 – hospital discharge services
• 99241 – outpatient consultation services (new or established patient)
• 99242 – outpatient consultation services (new or established patient)
• 99243 – outpatient consultation services (new or established patient)
• 99244 – outpatient consultation services (new or established patient)
• 99245 – outpatient consultation services (new or established patient)
• 99291 – critical care services
• 99292 – critical care services
• 99251 – inpatient consultation services (new or established patient)
• 99252 – inpatient consultation services (new or established patient)
• 99253 – inpatient consultation services (new or established patient)
• 99254 – inpatient consultation services (new or established patient)
• 99255 – inpatient consultation services (new or established patient)

Hospitalist Modifiers

Use modifiers to make codes more accurate and specific in order to increase collections from claims.

• 25 – indicates a visit is separate from a procedure performed on the same day
• 310 – not vaccinated against COVID-19
• 311 – partly vaccinated against COVID-19
• 39 – indicates any other under-immunized status

Outsourcing your medical billing is one way to maximize your hospital-based practice’s profits. Doing so can help to reduce errors that could cost your profits. Having an external company file your claims for you can minimize these mistakes and increase your collections in these ways.

#1

Overhead Costs Are Reduced

When you keep your medical billing in-house, you have to have employees process claims. If you choose to outsource your billing, then you won’t have to pay to keep as many people employed at your practice.

#2

Expensive Mistakes Are Reduced

Errors in billing can be costly to hospitalists. If you use the wrong codes or aren’t specific enough, you could be missing out on collections. By trusting your claims filing to an expert company, you’ll reduce the risk of expensive mistakes.

#3

A/R Time Is Reduced

Outsourcing can also help to reduce the amount of time it takes for hospitalists to receive payment from insurance companies. An external company dedicated to medical billing can process claims much more quickly than they can be done in-house.

#4

Time With Patients Is Increased

With your medical billing outsourced, you’ll have more time to see more patients. This, in turn, increases the potential profits from more patient claims.

The Benefits of Outsourcing Medical Billing

Outsourcing the billing process is beneficial for hospitalists for a number of reasons. Not only do you reduce the risk of errors but you also free up more time to see patients, which then results in more collections.

Quest National Services tailors its medical billing services to meet the specific needs of each type of medical practice. Plus, our billers are skilled and up-to-date on the most recent billing rules and codes. Contact us today for more information about our services.