What is the difference between 95806 and G0399?

CPT® code 95806 Generally, for Medicare, the G0399 code is reported when services are performed in the home, and 95806 is reported when services are performed in a facility. An HST provider should contact each payer to identify which codes to report. Verification is always the responsibility of the provider.

What are the CPT codes for sleep studies?

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.

What is the difference between CPT code 95810 and 95811?

95810 Polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist. Titration 95811 Polysomnography; initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist.

What is CPT G0398?

G0398. Home sleep study test (HST) with type II portable monitor, unattended; minimum of 7 channels: eeg, eog, emg, ecg/heart rate, airflow, respiratory effort and oxygen saturation.

What is CPT G0400?

Current Procedural Terminology (CPT) defines G0400 as: “Home sleep test (hst) with type iv portable monitor, unattended; minimum of 3 channels.” During a routine review of Contractor Priced codes, the fees for this code were revised.

Is CPT 95800 a home sleep study?

Precertification is not required for Unattended/Home Sleep Testing (HST); CPT codes 95800, 95801, 95806 and HCPCS codes G0398, G0399, G0400. 2 Actigraphy as a stand-alone test (CPT code 95803) is not medically necessary and requires Medical Director review.

What is code 95806?

95806. SLEEP STUDY, UNATTENDED, SIMULTANEOUS RECORDING OF, HEART RATE, OXYGEN SATURATION, RESPIRATORY AIRFLOW, AND RESPIRATORY EFFORT (EG, THORACOABDOMINAL MOVEMENT)

What is CPT G0399?

HCPCS Code G0399 Home sleep test with Type III portable monitor, unattended; minimum of four channels: two respiratory movement/airflow, one ECG/heart rate and one oxygen saturation.

What is procedure code 95800?

Sleep Medicine Testing Procedures
CPT® 95800, Under Sleep Medicine Testing 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 Procedures.

What is procedure code 94660?

CPT code 94660 is a face-to-face service addressing the use of CPAP for sleep-disordered breathing, such as (but not limited to) obstructive sleep apnea. This may often be performed in a sleep testing laboratory.

What is the CPT code for sleep apnea?

The G codes (G0398, G0399 and G0400), which describe home sleep apnea testing (HSAT) services, were added to the Healthcare Common Procedure Coding System (HCPCS) Level II in 2008. Some insurers accept the G codes while others accept the CPT® codes for HSATs (95800, 95801 and 95806).