CPT^® 95801, Under Sleep Medicine Testing Procedures

The Current Procedural Terminology (CPT^®) code 95801 as maintained by American Medical Association, is a medical procedural code under the range - Sleep Medicine Testing Procedures.

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Summary

Providers perform sleep studies to diagnose sleep disorders, such as sleep apnea, when a patient stops breathing in his sleep for 10 or more seconds, sleep walking, or insomnia. Sleep studies are diagnostic services that utilize laboratory or portable technology the patient uses at home to evaluate physiological functioning while the patient is asleep.

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Home Sleep Study prior to Overnight in Lab Denials 95801 g0400 home sleep study osa star dust

My providers are currently sending patient's who have clinical high risk symptoms of OSA without comorbid conditions home with Star Dust, a home sleep study with 3 channels. This codes to either 9580... [ Read More ]

PAP-NAP Sleep Coding

We use CPT 95807 with 52 modifier since is less than 6 hours of recording. CPT 95807 - "Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturatio... [ Read More ]

What code is appropriate?

Our practice opted out of ordering these, but here is a clip from the Medicare Processing Manual at may assist you. Sleep testing performed using an unattended portable monitor (home sleep testing (H... [ Read More ]

Primary care billing home sleep studies 95801

Hello, I was wondering if there are any primary care offices billing for home sleep studies (95801). It is a new procedure being added to our group practice. Orgiinally we were told that we could ... [ Read More ]

Code for Reading/Intr Sleep Study

Hope this helps (need to verify - from 2011 CPT): 95803 - actigraphy testing, recording, analysis, interpretation, and report (min 72 hrs to 14 consecutive days of recording) 95805 - multiple sleep ... [ Read More ]

CPT 95800 home sleep study

[b]Confused as well![/b] Hey Gina, I'm looking into this same issue, and I'm wondering why HCPCS codes G0398 - G0400 wouldn't be used instead of 95800, 95801 and 95806. I don't see a big difference... [ Read More ]

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