A reminder that the following three sleep study procedures require exact codes be billed for payments to be authorized.
Service | CPT code to be used | Notes |
Polysomnography sleep staging with 4 or more additional parameters of sleep for ages less than 6 years old | 95782 | Payment allowed only if the authorization of this CPT code matches exactly on the claim. |
Polysomnography with CPAP (Continuous positive airway pressure) with 4 or more additional parameters of sleep for ages less than 6 years old | 95783 | Payment allowed only if the authorization of this CPT code matches exactly on the claim. |
Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologist | 95807 | Payment allowed only if the authorization of this CPT code matches exactly on the claim.
This service must be conducted in a sleep lab. |
And – codes for all durable medical equipment for treatment of sleep apnea must also be exact.