HCPCS code G0400 — Home sleep test/type 4 porta.
Status: Active.
Effective Mar 13, 2008.
Source: CMS HCPCS Level II.
G0400
ActiveHome sleep test/type 4 porta
Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels
Category:
Procedures
Section:
G-codes: Procedures / Professional Services
Effective:
Mar 13, 2008
Code type:
alphanumeric
OPPS Status:
S
— Significant procedure — not subject to multiple procedure reduction
OPPS APC:
5722
MUE — Medically Unlikely Edits
Maximum units of G0400 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| Outpatient Hospital | 1 |
| Practitioner Services | 1 |
Source: CMS Medicare NCCI Medically Unlikely Edits
NCCI Edits
The following codes cannot be billed together with G0400 without appropriate documentation.
| Column 2 Code | Modifier |
|---|---|
| G0248 | Modifier cannot bypass edit |
Source: CMS National Correct Coding Initiative (NCCI)
NCCI Edits — Reverse Direction
G0400 cannot be billed together with the following column 1 codes without appropriate documentation.
Source: CMS National Correct Coding Initiative (NCCI)