Sleep Center CPT Codes for 2023 + Modifiers

Accurate CPT codes are essential for sleep center billing. If your claims are inaccurate, claims could be denied or you could trigger audits. To maximize your collections, make sure to stay up-to-date on the latest CPT code ranges and modifiers.

Sleep Center CPT Code Ranges for 2023

These are the updated CPT codes for sleep center services in 2023:

• 95810 – polysomnography; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
• 95782 – polysomnography attended by a technologist for a patient younger than six years old with 4 or more additional sleep parameters
• 95783 – polysomnography attended by a technologist for a patient younger than six years old with CPAP therapy or bi-level ventilation with 4 or more additional sleep parameters
• 95800 – unattended sleep study with recording, sleep time, and analysis of oxygen saturation, respiratory and heart rate
• 95801 – unattended sleep study with recording and analysis of oxygen saturation, respiratory and minimum heart rate
• 95803 – actigraphy testing with recording, analysis, interpretation, and a report
• 95805 – sleep latency and wakefulness testing
• 95806 – unattended sleep study with recording of heart rate, oxygen saturation, respiratory effort, and respiratory airflow
• 95807 – sleep study attended by a technologist with recording of ECG, heart rate, ventilation, or oxygen saturation
• 95808 – polysomnography attended by a technologist for a patient of any age with 1-3 sleep parameters
• 95810 – polysomnography attended by a technologist for a patient six years old or older with 4 or more additional sleep parameters
• 95811 – polysomnography attended by a technologist for a patient six years old or older with CPAP therapy or bi-level ventilation with 4 or more additional sleep parameters
• 94660 – CPAP initiation and management
• 99202 – new patient office visit level 2
• 99203 – new patient office visit level 3
• 99204 – new patient office visit level 4
• 99205 – new patient office visit level 5
• 99211 – established patient office visit level 1
• 99212 – established patient office visit level 2
• 99213 – established patient office visit level 3
• 99214 – established patient office visit level 4
• 99215 – established patient office visit level 5
• E0485 – prefabricated oral device to reduce collapsibility of upper airway
• E0486 – custom fabricated oral device to reduce collapsibility of upper airway
• E0601 – CPAP device
• E0470 – bi-level pressure respiratory device with backup rate feature
• E0471 – bi-level pressure respiratory device without backup rate feature
• G0398 – unattended home sleep test with type ii portable monitor
• G0399 – unattended home sleep test with type iii portable monitor
• G0499 – unattended home sleep test with type iv portable monitor

Sleep Center CPT Modifiers

To maximize collections, use updated CPT code modifiers to make your claims more specific.

• 310 – not vaccinated against COVID-19
• 311 – partly vaccinated against COVID-19
• 39 – indicates any other under-immunized status

For informational purposes only.