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CPT 95806: Unattended Multichannel Sleep Study, Clinic or Sleep Lab
CPT code 95806 represents an unattended multichannel sleep study conducted in an outpatient sleep laboratory or clinic setting to record multiple physiologic parameters while a patient sleeps. This code is used to diagnose a range of sleep disorders, including obstructive sleep apnea and hypersomnia, by capturing data such as respiratory patterns, oxygenation, and sleep time without a technologist physically present during the recording. Nationally, accurate use of this code matters for consistent clinical documentation, proper care pathway identification, and administrative clarity across payers.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context and service setting for 95806, comparisons to related unattended sleep study codes, and what to expect in payer coverage patterns and claims handling at a national level. The publication summarizes typical use cases for unattended sleep testing, highlights associated clinical diagnoses commonly reported with the service, and outlines areas where coding clarity affects billing and workflow. Data not available in the input for specific reimbursement rates or payer policy variations are noted as unavailable.
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Billing Code Overview
CPT code 95806 describes an unattended sleep study performed in a clinical sleep laboratory or dedicated sleep center where a technologist is not in attendance. The service involves measuring multiple physiologic parameters while the patient sleeps to assist in the diagnosis of sleep disorders. Typical site of service is an outpatient sleep lab or clinic setting where overnight or extended monitoring is performed without continuous technologist presence.
National Reimbursement Benchmarks
Commercial averages sit well above Medicare for CPT 95806: Blue Cross Blue Shield and BUCA averages are particularly elevated versus Medicare’s mean of $71.4, with BUCA’s mean at $279.5 reflecting a substantial premium relative to the federal baseline. Aetna, Cigna, and UnitedHealth Group means ($106.2, $129.8, and $135.8) occupy mid-range commercial positions, while Blue Cross Blue Shield’s mean of $396.1 marks the highest commercial average.
Dispersion measured by the interquartile range (P75–P25) is widest for Blue Cross Blue Shield at $111 (P75 $429.3 minus P25 $328.2), indicating the greatest variability among payers. UnitedHealth Group ($94.9), Cigna ($104.6), and BUCA ($98.0) show substantial spread as well. Aetna’s IQR is tightest at $82.8, suggesting the most concentrated commercial rates among the listed payers.