Search results
3 paź 2018 · CPT codes 95782, 95783, 95808, 95810, and 95811 include sleep staging. Medicare would not expect to see separate billings for an EEG, EOG, and/or EMG in addition to these codes. CPT code 95808 includes reimbursement for one to three additional parameters.
It is appropriate to bill the 95810 CPT code when a patient aged six years or older requires a polysomnography to diagnose or evaluate a sleep disorder, and the study includes sleep staging with four or more additional parameters of sleep, attended by a technologist.
Some insurers accept the G codes while others accept the CPT® codes for HSATs (95800, 95801 and 95806). An HSAT provider will need to contact each insurer they work with to identify which codes can be reported.
The Current Procedural Terminology (CPT ®) code 95810 as maintained by American Medical Association, is a medical procedural code under the range - Sleep Medicine Testing Procedures. Subscribe to Codify by AAPC and get the code details in a flash.
A: CPT® code 95811 (Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level ventilation, attended by a technologist) should be used for polysomnography with CPAP.
Report sleep disorder diagnostic services with current procedural terminology code 95810. Full-night CPAP titration and split-night services should be reported with CPT code 95811. Modifiers -TC or -26 should be reported when billing for the technical or professional component.
The duration of polysomnography for adults (CPT codes 95810 and 95811) should be at least 6 hours, and for pediatric patients younger than 6 years old (CPT codes 95782 and 95783), the duration should be at least 7 hours. 5 The monitoring of polysomnography must be continuous and simultaneous.
