What is Home Sleep Testing or a Home Sleep Study?

In order to diagnose Sleep Apnea or other sleep disorders, a patient must undergo a polysomnography (sleep study). This is typically done in a sleep lab, requiring the patient to spend the night in-lab, while the polysomnography (PSG) equipment records his/her physiological data. However, today with technological advancements a polysomnograpy can be performed at home and is called home sleep testing (HST) or a home sleep study.

Benefits of Home Sleep Testing:

1. The patient self-administers the home sleep test, and is able to spend the night in the patient's own bed in familiar surroundings (reducing first night effect).
2. Home sleep testing, a home sleep study, can be especially advantageous to the home-bound, elderly, or those with chronic illness, who require specialized care such as a nurse or family member spending the night, expensive transportation costs, etc. It is also beneficial for those with trouble arranging time out of their schedules to spend the night in-lab.
3. The typical cost of a home sleep test or a home sleep study is only a fraction of the cost of an in-lab sleep study, and typically yields similar results in the diagnosis of Obstructive Sleep Apnea.

CleveMed's Home Sleep Testing Monitors

	SleepView® Type III, 8-channels Home Sleep Monitor
	SleepViewSM Web Portal Secure & HIPAA Compliant Web Portal
	SleepScout™ Type III, 9-channels Home Sleep Monitor

FEATURED RESOURCES

Choosing the Right Portable Sleep Monitor for Home Sleep Testing

by Joseph Lamont RPSGT (as seen on CleveMed Blogs)

There are a number of portable monitors that can be used in HST (as a baseline evaluation, or to evaluate the efficacy of OSA treatment whether it is OA, CPAP, or others). It is important that a facility select the right HST monitor from all the available options. Hence some of the important criteria to watch for while selecting a portable sleep monitor for your practice are...
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Home Sleep Testing Can Improve Patient Care

by Sarah Weimer (PDF as seen in Sleep Diagnosis and Therapy Magazine)

The changing reimbursement and acceptance of home sleep testing by insurance payers and sleep professionals will open up opportunities for improved patient care and will provide sleep labs with a means to expand the reach of their sleep services. Many patient populations are well suited for home sleep diagnostic testing...
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Self-Administered Wireless Monitor for Comprehensive Evaluation of CPAP Benefit in the Home

by Hani Kayyali (as seen in Sleep Diagnosis and Therapy)

...Effective treatment exists; however, once prescribed therapeutic benefit is not monitored adequately. Many patients, especially those with comorbidities, may require pressure adjustments, supplemental therapy, or different intervention that maybe difficult to identify with current therapy assessment techniques....
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Coding & Reimbursement for Home Sleep Testing

It is important to be informed on the coverage, contracting, coding and reimbursement requirements of payors when considering offering home sleep testing within your practice. As payor policies are constantly evolving with respect to home sleep testing, this serves as a guide to help you navigate the key issues with your payor set.

The information below provides an overview of CPT® coding applicable to unattended sleep studies for a patient suspected of having sleep apnea. When selecting a CPT code, healthcare providers should choose the code that most accurately identifies the procedure or service performed.

CPT Code 95800
Sleep study, unattended, simultaneous recording: heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time.
CPT Code 95806
Sleep study, unattended, simultaneous recording of heart rate, oxygen saturation, respiratory airflow and respiratory effort.
HCPCS Code G0399
Home sleep test with Type III portable monitor, unattended; minimum of four channels: two respiratory movement/airflow, one ECG/heart rate and one oxygen saturation.

Commonly Used ICD-9 Codes for
Type III Home Sleep Test/ Home Sleep Study

Indication	ICD-9 Code
Obstructive sleep apnea	327.23
Sleep-related hypoventilation/hypoxemia in conditions classified elsewhere	327.26
Insomnia with sleep apnea, unspecified	780.51
Hypersomnia with sleep apnea, unspecified	780.53
Unspecified sleep apnea	780.57

To determine exact reimbursement amounts for your state, click here Enter the appropriate code from the list above and select your state to find reimbursement amounts.