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Sleep Systems - CPT Diagnostic Codes for the Business of Sleep
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95805
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Multiple sleep latency (MSLT) or maintenance of wakefulness
testing, recording, analysis and interpretation of physiological measurements
of sleep during multiple trials to assess sleepiness.
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95806
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Sleep study, simultaneous recording of ventilation,
respiratory effort, ECG or heart rate, and oxygen saturation, unattended
by a technologist.
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95807
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Sleep study, simultaneous recording of ventilation,
respiratory effort, ECG or heart rate, and oxygen saturation, attended
by a technologist.
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95808
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Polysomnography, sleep staging with 1-3 additional parameters
of sleep, attended by a technologist.
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95810
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Sleep staging with 4 or more additional parameters of
sleep, attended by a technologist.
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95811
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Sleep staging with 4 or more additional parameters of
sleep, with initiation of continuous positive airway pressure therapy
or bilevel ventilation, attended by a technologist.
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Sleep studies and polysomnography refer to the continuous
and simultaneous monitoring and recording of various physiological and
pathophysiological parameters of sleep for 6 or more hours with physician
review, interpretation and report. The studies are performed to diagnose
a variety of sleep disorders and to evaluate a patient's response to
therapies such as nasal continuous positive airway pressure (NCPAP).
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Polysomnography is distinguished from sleep studies by the inclusion
of sleep staging which is defined to include a 1-4 lead electroencephalogram
(EEG), an electro-oculogram (EOG), and a submental electro-myogram (EMG).
Additional parameters of sleep include: - EKG;
- (quantitative) airflow;
- ventilation
and respiratory effort;
- gas exchange by oximetry, transcutaneous
monitoring, or end tidal gas analysis;
- extremity muscle activity,
motor activity-movement;
- (quantitative) snoring;
- body positions
- other events
The sleep services (95805-95811) include recording, interpretation and
report. For interpretation only, use modifier 26.
For a study to be reported as polysom-nography, sleep must be recorded
and staged.
Report with a 52 modifier if less than 6 hours of recording or in other
cases of reduced services as appropriate.
For unattended sleep study, use 95806.
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