Pap Nap Coding

March 2, 2017

Question:
How would you code for a pap nap?

Answer:
A Pap-nap is an abbreviated sleep study typically used to help patient adjust to a CPAP and is performed for less than 6-hours during the day. The American Academy of Sleep Medicine recommends providers use CPT code 95807-52. A typical sleep study is 6 or more hours. When the sleep study is less than 6 hours Modifier 52 is reported for reduced services. Some payers do consider a Pap-nap to be investigational and/or a non-covered service and will not reimburse for this service. It is recommended you check with the individual payer before performing the procedure.

*This response is based on the best information available as of 03/02/17.

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