CPT code 95806 is a sleep study that records various physiological parameters during sleep to diagnose potential sleep disorders.
What Is CPT Code 95806?
CPT 95806 is a sleep study that simultaneously records various physiological parameters while the patient sleeps.
This may include heart rate, oxygen saturation, respiratory airflow, and respiratory effort, as measured by thoracoabdominal movement.
During the procedure, a portable recording device captures these data, which a physician interprets to diagnose any potential sleep disorders.
The CPT book describes CPT code 95806 as: “Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (e.g., thoracoabdominal movement).”
A portable recording device records parameters such as heart rate, oxygen saturation, respiratory airflow, respiratory effort, or thoracoabdominal movement while the patient sleeps.
A physician then interprets the test results and diagnoses any sleep disorders.
How To Use CPT 95806
If you only report the physician’s interpretation of the study, you should append modifier 26 (professional component) to CPT code 95806.
If you are only reporting the technical component of the service, you should append the modifier TC (technical component) unless the hospital provided the technical component.
If you report a global service in which one provider is responsible for both the technical and professional components, do not append any modifiers to CPT 95806.
Report CPT 95800 for unattended sleep studies that measure heart rate, oxygen saturation, sleep time, and respiratory analysis.
Report CPT 95801 for unattended sleep studies that measure oxygen saturation, a minimum heart rate, and respiratory analysis.