Find policies, billing codes, payers, states, and providers

CPT 95807: Attended Polysomnography Sleep Study

CPT code 95807 denotes an attended polysomnography sleep study in which a technologist remains in attendance while the patient sleeps and multiple physiologic parameters are recorded. This diagnostic procedure is a cornerstone for evaluating obstructive sleep apnea, hypersomnia, snoring, and other sleep disorders. Nationally, attended polysomnography remains an important clinical service for definitive diagnosis when home testing is insufficient.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, United Healthcare, and Medicare. Readers will find a concise overview of clinical context for the service, common diagnostic indications, related procedure codes, and typical sites of service. The publication summarizes payer coverage landscape and coding context relevant to billing and claim adjudication for attended in-lab sleep studies.

The report outlines how 95807 differs from unattended or home testing codes and from more complex polysomnography services that include additional therapeutic interventions. It also highlights the diagnostic role of attended polysomnography in the evaluation of sleep-disordered breathing and other sleep pathologies. Data not available in the input pertains to utilization benchmarks and payer-specific reimbursement rates.

Customize your policy alerts

Sign up for cpt 95807 policy alerts

Get alerted when payer policies referencing 95807 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Billing Code Overview

CPT code 95807 describes an attended polysomnography sleep study in which a technologist is present while the patient sleeps. The service records multiple physiologic parameters during sleep to help diagnose sleep-related breathing and sleep-wake disorders.

Service type: Attended polysomnography (diagnostic sleep study)

Typical site of service: Sleep laboratory or accredited sleep center (facility-based overnight study)

National Reimbursement Benchmarks

Commercial averages for CPT 95807 sit well above Medicare: BUCA’s mean commercial rate is $1,222.90 versus Medicare’s mean of $308.80, indicating a substantial premium for commercial contracts relative to the national Medicare average. Blue Cross Blue Shield and UnitedHealth Group also show elevated means ($1,843.50 and $442.00 respectively), reinforcing that commercial payers generally reimburse higher than Medicare for this code.

Dispersion (P75 minus P25) highlights where rates are most and least variable. Blue Cross Blue Shield has the widest interquartile spread at $502.40 ($1,998.30 − $1,495.90), signaling high variability across markets. Cigna and UnitedHealth Group have similar wide spreads of $534.90 ($680.60 − $143.70) and $492.60 ($642.50 − $149.90) respectively, while Aetna’s spread is narrower at $345.00 ($428.00 − $83.30), making Aetna the tightest among those with full quartile data.

Explore openpayer tools

View all tools

Find policies, billing codes, payers, states, and providers

CPT 95807: Attended Polysomnography Sleep Study

Customize your policy alerts

Sign up for cpt 95807 policy alerts

Get alerted when payer policies referencing 95807 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Billing Code Overview

Service type: Attended polysomnography (diagnostic sleep study)

Typical site of service: Sleep laboratory or accredited sleep center (facility-based overnight study)

National Reimbursement Benchmarks

National Payer Mean Reimbursement Rates

Clinical & Coding Specifications

Clinical Context

A 52-year-old male with progressive daytime sleepiness, loud snoring, and witnessed apneas is referred by his primary care physician for an attended overnight polysomnography. The technologist is present throughout the study to apply and monitor sensors, record simultaneous measurements (EEG, EOG, EMG, airflow, respiratory effort, ECG, and pulse oximetry), and troubleshoot leads or equipment. The clinical workflow begins with pre-test assessment and documentation of indications (for example, suspected obstructive sleep apnea G47.33), consent, and placement of monitoring sensors in an accredited sleep lab (typical site of service: hospital-based sleep laboratory or freestanding sleep center). The study is performed during the patient’s usual sleep period, with the technologist observing and annotating events, and providing immediate intervention or safety measures if needed. After completion, the technologist removes sensors, the data are processed, and a credentialed sleep medicine physician reviews and interprets the polysomnography report to determine diagnosis and guide management (for example, initiation of 94660 if positive airway pressure therapy is indicated).

Coding Specifications

Modifier	Description	When to Use
`26`	Professional component	Use when billing only the physician interpretation component separate from technical services provided by the facility or technologist.
`TC`	Technical component	Use when billing only the technical component (equipment and technologist services) of the polysomnography.
`52`	Reduced services	Use when the study is started but discontinued or performed at a reduced scope and full recording is not obtained.
`53`	Discontinued procedure	Use when the test is terminated for patient safety reasons prior to completion.
`59` is not provided in input and must not be used	Data not available in the input.	Data not available in the input.
`78`	Return to operating room for procedure after intraoperative complication (modifier present in list)	Rarely applicable; use only if a procedure requires return to procedure setting due to complications from the diagnostic study (use cautiously).
`62`	Two surgeons	Use when two qualified providers share responsibility for an invasive procedure related to sleep management (rare for diagnostic polysomnography).
`22`	Unusual procedural services	Use when the study requires substantially greater resources than typical (document rationale).
`23`	Unusual anesthesia	Use if general anesthesia unrelated to the diagnostic service was required for the study.
`11`	Normally expected part of the service by the performing provider	Use to indicate the service was provided by the usual responsible provider; often default and payer-dependent.
`51`	Multiple procedures	Use when multiple distinct procedures are billed on the same encounter in addition to the sleep study.
`52`	Reduced services	Duplicate entry avoided; see above.

Taxonomy Code	Specialty	Notes
`207RS0012X`	Sleep Medicine Physician	Specialty that interprets polysomnography and directs sleep disorder management.
`207R00000X`	Internal Medicine Physician	Often refers or manages patients and may interpret studies if board-certified in sleep medicine.
`2084P0800X`	Psychiatry & Neurology Physician	Neurology or psychiatry subspecialists with sleep expertise who may evaluate and interpret complex sleep disorders.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`G47.33`	Obstructive sleep apnea (adult) (pediatric)	Primary indication for attended polysomnography to quantify apnea–hypopnea index and determine severity.
`G47.30`	Sleep apnea, unspecified	Used when sleep-disordered breathing is suspected but type not yet specified; polysomnography clarifies diagnosis.
`R06.83`	Snoring	Common presenting complaint prompting diagnostic evaluation for obstructive sleep apnea with polysomnography.
`G47.10`	Hypersomnia, unspecified	Excessive daytime sleepiness without clear cause — polysomnography helps evaluate sleep architecture and rule out sleep apnea.
`G47.9`	Sleep disorder, unspecified	Non-specific sleep complaints where attended polysomnography may be indicated to identify underlying pathophysiology.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`95806`	Sleep study, unattended, simultaneous recording of heart rate, oxygen saturation, and respiratory airflow	Lower-complexity, unattended home sleep apnea testing alternative to attended polysomnography represented by `95807`.
`95810`	Polysomnography; sleep staging with 4 or more additional parameters of sleep	Higher-complexity attended in-lab study often used for comprehensive diagnostic evaluation; overlaps with services in `95807`.
`95811`	Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level ventilation	Used when in-lab polysomnography includes titration and initiation of positive airway pressure therapy following diagnostic recording.
`94660`	Continuous positive airway pressure ventilation (CPAP), initiation and management	Therapy initiation and management procedure following diagnosis from attended polysomnography; may follow `95807` when treatment is indicated.

Related Codes

CPT-95705-UNMONITORED-EEG-2-TO-12-HOURS

CPT 95705: Unmonitored EEG, 2–12 Hours

CPT-95706-EXTENDED-EEG-MONITORING-2-TO-12-HOURS

CPT 95706: Extended EEG Monitoring, 2–12 Hours

CPT-95707-EXTENDED-EEG-MONITORING-2-TO-12-HOURS

CPT 95707: Extended Electroencephalography Monitoring, 2–12 Hours

CPT-95708-UNMONITORED-AMBULATORY-EEG-12-26-HOURS

CPT 95708: Unmonitored Ambulatory EEG, 12–26 Hours

CPT-95709-PROLONGED-AMBULATORY-EEG-12-TO-26-HOURS

CPT 95709: Prolonged Ambulatory EEG, 12–26 Hours

CPT-95710-CONTINUOUS-EEG-MONITORING-NO-VIDEO

CPT 95710: Continuous Electroencephalography Monitoring Without Video

CPT-95711-UNMONITORED-EEG-2-TO-12-HOUR-VIDEO-TECHNICAL-REVIEW

CPT 95711: Unmonitored EEG with Video, 2–12 Hours

CPT-95712-EXTENDED-VIDEO-EEG-2-12-HOUR-MONITORING

CPT 95712: Extended Video Electroencephalography, 2–12 Hours

CPT-95713-PROLONGED-EEG-WITH-VIDEO-2-TO-12-HOURS

CPT 95713: Prolonged EEG with Video, 2–12 Hours

CPT-95714-UNMONITORED-EEG-12-TO-26-HOURS-WITH-VIDEO

CPT 95714: Unmonitored EEG, 12–26 Hours with Video

Showing 1–10 of 29

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Explore openpayer tools

View all tools

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`26`	Professional component	Use when billing only the physician interpretation component separate from technical services provided by the facility or technologist.
`TC`	Technical component	Use when billing only the technical component (equipment and technologist services) of the polysomnography.
`52`	Reduced services	Use when the study is started but discontinued or performed at a reduced scope and full recording is not obtained.
`53`	Discontinued procedure	Use when the test is terminated for patient safety reasons prior to completion.
`59` is not provided in input and must not be used	Data not available in the input.	Data not available in the input.
`78`	Return to operating room for procedure after intraoperative complication (modifier present in list)	Rarely applicable; use only if a procedure requires return to procedure setting due to complications from the diagnostic study (use cautiously).
`62`	Two surgeons	Use when two qualified providers share responsibility for an invasive procedure related to sleep management (rare for diagnostic polysomnography).
`22`	Unusual procedural services	Use when the study requires substantially greater resources than typical (document rationale).
`23`	Unusual anesthesia	Use if general anesthesia unrelated to the diagnostic service was required for the study.
`11`	Normally expected part of the service by the performing provider	Use to indicate the service was provided by the usual responsible provider; often default and payer-dependent.
`51`	Multiple procedures	Use when multiple distinct procedures are billed on the same encounter in addition to the sleep study.
`52`	Reduced services	Duplicate entry avoided; see above.

Taxonomy Code	Specialty	Notes
`207RS0012X`	Sleep Medicine Physician	Specialty that interprets polysomnography and directs sleep disorder management.
`207R00000X`	Internal Medicine Physician	Often refers or manages patients and may interpret studies if board-certified in sleep medicine.
`2084P0800X`	Psychiatry & Neurology Physician	Neurology or psychiatry subspecialists with sleep expertise who may evaluate and interpret complex sleep disorders.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`G47.33`	Obstructive sleep apnea (adult) (pediatric)	Primary indication for attended polysomnography to quantify apnea–hypopnea index and determine severity.
`G47.30`	Sleep apnea, unspecified	Used when sleep-disordered breathing is suspected but type not yet specified; polysomnography clarifies diagnosis.
`R06.83`	Snoring	Common presenting complaint prompting diagnostic evaluation for obstructive sleep apnea with polysomnography.
`G47.10`	Hypersomnia, unspecified	Excessive daytime sleepiness without clear cause — polysomnography helps evaluate sleep architecture and rule out sleep apnea.
`G47.9`	Sleep disorder, unspecified	Non-specific sleep complaints where attended polysomnography may be indicated to identify underlying pathophysiology.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`95806`	Sleep study, unattended, simultaneous recording of heart rate, oxygen saturation, and respiratory airflow	Lower-complexity, unattended home sleep apnea testing alternative to attended polysomnography represented by `95807`.
`95810`	Polysomnography; sleep staging with 4 or more additional parameters of sleep	Higher-complexity attended in-lab study often used for comprehensive diagnostic evaluation; overlaps with services in `95807`.
`95811`	Polysomnography; sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level ventilation	Used when in-lab polysomnography includes titration and initiation of positive airway pressure therapy following diagnostic recording.
`94660`	Continuous positive airway pressure ventilation (CPAP), initiation and management	Therapy initiation and management procedure following diagnosis from attended polysomnography; may follow `95807` when treatment is indicated.

Related Codes

CPT-95705-UNMONITORED-EEG-2-TO-12-HOURS

CPT 95705: Unmonitored EEG, 2–12 Hours

CPT-95706-EXTENDED-EEG-MONITORING-2-TO-12-HOURS

CPT 95706: Extended EEG Monitoring, 2–12 Hours

CPT-95707-EXTENDED-EEG-MONITORING-2-TO-12-HOURS

CPT 95707: Extended Electroencephalography Monitoring, 2–12 Hours

CPT-95708-UNMONITORED-AMBULATORY-EEG-12-26-HOURS

CPT 95708: Unmonitored Ambulatory EEG, 12–26 Hours

CPT-95709-PROLONGED-AMBULATORY-EEG-12-TO-26-HOURS

CPT 95709: Prolonged Ambulatory EEG, 12–26 Hours

CPT-95710-CONTINUOUS-EEG-MONITORING-NO-VIDEO

CPT 95710: Continuous Electroencephalography Monitoring Without Video

CPT-95711-UNMONITORED-EEG-2-TO-12-HOUR-VIDEO-TECHNICAL-REVIEW

CPT 95711: Unmonitored EEG with Video, 2–12 Hours

CPT-95712-EXTENDED-VIDEO-EEG-2-12-HOUR-MONITORING

CPT 95712: Extended Video Electroencephalography, 2–12 Hours

CPT-95713-PROLONGED-EEG-WITH-VIDEO-2-TO-12-HOURS

CPT 95713: Prolonged EEG with Video, 2–12 Hours

CPT-95714-UNMONITORED-EEG-12-TO-26-HOURS-WITH-VIDEO

CPT 95714: Unmonitored EEG, 12–26 Hours with Video

Showing 1–10 of 29

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.