AMA CPT® Assistant - 2011 Issue 11 (November)
Sleep Testing Guidelines Revisions (November 2011)
November 2011 pages 3-4 Sleep Testing Guidelines Revisions Majority of the current Sleep Testing codes ( 95805 - 95811 ) were originally added to the CPT codebook between 1991 and 1998. CPT code 95803 (actigraphy testing) was added in 2009, and codes 95800 and 95801 (unattended sleep testing) were added in 2011. The guidelines in this section have been revised in CPT 2012 to reflect the changes in sleep medicine testing since they were originally published. This article will discuss these changes, which include the definition of terms in the sleep testing codes, the creation of new parenthetical remarks...
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Article Overview
This CPT Assistant article explains the November 2011 revisions to sleep testing guidelines and how they affect documentation and code selection for sleep medicine services. It is aimed at coders, billing staff, and clinicians who work with sleep studies, especially unattended and attended testing. The article covers updated definitions, reporting notes, service components, and component billing considerations within the CPT sleep testing code family.
Why This Topic Matters
Sleep testing is an area where code selection depends on the service setting, recorded parameters, and documentation details. Understanding the revised guideline language helps support consistent reporting of sleep medicine services and avoid duplicate or incomplete billing.
Article Sections
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November 2011 pages 3-4
Identifies the publication context and the portion of the source discussing the guideline revisions.
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Sleep Testing Guidelines Revisions
Introduces the scope of the revised sleep testing guidance and the general reasons the guideline language was updated.
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Overview of the Changes to the Guidelines
Summarizes broad revisions affecting sleep testing reporting, including documentation expectations and service timing considerations.
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Additional Terms Related to Those Found in Sleep Testing Codes
Defines terminology used in connection with sleep testing services and explains the broad categories of measurement and recording concepts.
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Correlation of Definitions of Additional Terms to Those Found in the Revised Sleep Testing Guidelines
Connects the defined terms to sleep testing guideline application and discusses how different data types relate to reported services.
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Questions and Answers
Provides practical billing and reporting questions about unattended testing, components, documentation, and related sleep study scenarios.
What You Will Learn
- How the revised sleep testing guideline language is organized
- What broad documentation and reporting concepts were updated for sleep studies
- How terminology is defined in relation to sleep testing services
- How the article frames attended versus unattended sleep testing
- What kinds of billing and component questions are addressed in the Q&A section
Who Should Read This
- Medical coders
- Billing staff
- Sleep medicine practices
- Revenue cycle professionals
- Clinicians involved in sleep testing
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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