Stay alert for home sleep study payer policies that vary from CPT

Article Overview

This article is for coding and billing professionals working with sleep studies, especially home sleep testing and Medicare contractor policy. It discusses a place-of-service denial issue, references CPT Assistant guidance, and points to CGS Administrators’ local coverage materials that address how selected sleep study services are handled under specific settings. The focus is on understanding why payer policy may diverge from standard coding expectations and where to look for applicable coverage guidance.