Kentucky
Provider Communications
Changes to precertification
|
CPT® code |
Description |
|
95800 |
Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (such as, by airflow or peripheral arterial tone), and sleep time |
|
95801 |
Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (such as, by airflow or peripheral arterial tone) |
|
95805 |
Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory |
|
95806 |
Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory |
|
95807 |
Sleep study, attended |
|
95808 |
Polysomnography; any age, sleep staging with one to three additional parameters of sleep, attended by a technologist |
|
95810 |
Polysomnography; ages 6 years or older, sleep staging with four or more additional parameters of sleep, attended by a technologist |
|
95811 |
Polysomnography; ages 6 years or older, sleep staging with four or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi‑level ventilation, attended by a technologist |
When is precertification required?
The removal of the precertification requirement for POS 12 (home) or POS 11 (office) does not apply to nonparticipating providers.
Questions?
If you have questions about this communication, please contact your Provider Experience representative or Provider Services at 855-661-2028.
Featured In:
March 2022 Anthem Provider News - Kentucky