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Use the right sleep study codes for payment

09/28/2018

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.