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Click here for more sample CPC practice exam questions and answers with full rationale

Sleep Study (for Cardio patient) w/Pulmonology interpretation

Cardio meets with patient and gives equipment with direction of use 95800 with Mod -TC
Patient brings back equipment and Cardio downloads report

Pulm picks up report and does interpretation 95800 with Mod -26

But, if Total Recording Time (TRT) is less than 6 hours, Pulm also adds a Mod -52 for reduced services.
The question remains if Cardio needs to add Mod -52 to their charges even if their work was done when handing off equipment.

We cannot find definite answer to this and want to bill correctly.

Medical Billing and Coding Forum