Sleep Therapy Order Form - Apria HealthcareSleep Study Billing and Diagnostic Codes and GuidelinesCo 2025

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Items 12203 and 12250 are applicable for patients who require a diagnostic sleep study.
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.
95782, 95807, 95808 and 95810 Covered for: CodeDescription F51.3 Sleepwalking [somnambulism] F51.4 Sleep terrors [night terrors] G47.10 Hypersomnia, unspecified G47.11 Idiopathic hypersomnia with long sleep time22 more rows
CPT 95800, Under Sleep Medicine Testing and Long-term EEG Procedures. The Current Procedural Terminology (CPT) code 95800 as maintained by American Medical Association, is a medical procedural code under the range - Sleep Medicine Testing and Long-term EEG Procedures.
For a study to be reported as polysomnography (PSG), sleep must be recorded and staged and directly attended by a qualified technologist. Report with modifier 52 if less than 6 hours of recording or in other cases of reduced services. CPT codes 95782, 95783, 95808, 95810, and 95811 include sleep staging.
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The Current Procedural Terminology (CPT) code 95800 as maintained by American Medical Association, is a medical procedural code under the range - Sleep Medicine Testing and Long-term EEG Procedures.