facebook Sleep Center CPT Codes for 2024 + Modifiers - Quest National Services

Sleep Center CPT Codes for 2024 + Modifiers

Stay up to date on sleep center CPT codes and modifiers.
Read Time: 2 minutes
Apr 4, 2024

CPT code accuracy is essential for sleep center billing. Claims could be denied or you could trigger audits if your claims are inaccurate. 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 2024

These are the updated CPT codes for sleep center services in 2024:

Sleep Services Codes

Here are the 2024 CPT codes specific to sleep services:

  • 94660 – CPAP initiation and management
  • 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; sleep staging with 4 or more additional parameters of sleep, attended by a technologist
  • 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

Evaluation and Management Codes

Here are the 2024 CPT codes specific to Evaluation and Management (E/M):

  • 99201 – new patient office visit level 2
  • 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

Durable Medical Equipment Codes

Here are the 2024 CPT codes specific to Durable Medical Equipment (DME):

  • 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

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

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For informational purposes only.