CPT code 95807: Sleep study, technologist-attended recording2026 Medicare rate & RVUs in Washington
An attended cardiorespiratory sleep study records breathing, respiratory effort, heart activity, and oxygen saturation to assess sleep-related breathing disorders.
Medicare pays $463.74–$534.53 for 95807 in the office in Washington, from Rest of Washington to King County, WA. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 95807 covers
This study records cardiorespiratory signals during sleep while a technologist attends the patient. It is commonly performed in a sleep laboratory or hospital for evaluation of suspected sleep-disordered breathing, including obstructive sleep apnea. The recorded signals focus on ventilation, respiratory effort, heart rate or ECG, and oxygen saturation rather than EEG-based sleep staging. A qualified clinician reviews the recorded data and prepares the interpretation.
Select this code when the service performed is an attended cardiorespiratory sleep study, rather than an unattended home study or polysomnography with sleep staging. Documentation should identify the attended setting, the signals recorded, the clinical indication, and the interpreting report. CMS recognizes separately priced professional and technical components: modifier 26 identifies the interpretation, and modifier TC identifies equipment and staff. Reporting without either modifier represents the global service, including both components.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 95807 pays more and less in Washington
| Payment locality | Office | Facility |
|---|---|---|
| King County, WA | $534.53 | Unavailable |
| Rest of Washington | $463.74 | Unavailable |
How the 95807 rate is calculated
Each of 95807’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 95807
RVUs × geographic indexes × conversion factor
Work1.25
1.25 RVUs× 1.000 GPCI
Practice expense11.86
11.86 RVUs× 1.000 GPCI
Malpractice0.17
0.17 RVUs× 1.000 GPCI
Adjusted RVUs
13.2800
Conversion factor
$33.4009
Medicare rate
$443.56
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 95807
The CMS indicators that decide how 95807 is paid alongside other services.
CMS payment indicators · 95807
Sleep study, technologist-attended recording
| Rule | CMS value | What it means |
|---|---|---|
| Global period | XXX | The global surgery concept doesn’t apply. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 1 | Diagnostic test with separate professional (26) and technical (TC) components. |
What modifiers do to the payment
Modifier 26 · payment effect
With and without the modifier
95807 without 26 · national office
$443.56
Sleep study, technologist-attended recording
95807-26 · Professional component
$59.45
Pays only the interpretation and report.
95807 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 95806Sleep studyHeart rate and respiratory signals
- Both evaluate cardiorespiratory aspects of sleep, but 95807 is attended by a technologist; 95806 is unattended.
- 95808PolysomnographySleep staging, 1–3 parameters
- 95808 includes EEG-based sleep staging with a specified number of additional parameters. 95807 is an attended cardiorespiratory study without sleep staging.
- 95810Sleep studyAge six or older, attended
- 95810 is a more comprehensive staged polysomnogram for patients age 6 or older, with four or more additional parameters; 95807 focuses on cardiorespiratory recording.
- 95811Sleep studyPAP titration, age 6+
- 95811 describes attended polysomnography with PAP titration. Report 95807 for the attended cardiorespiratory study when PAP titration is not the service performed.
95807 billing questions
How does this differ from 95806?
95807 is for an attended cardiorespiratory sleep study; 95806 is the corresponding type of unattended study. Choose based on whether a technologist attended the recording.
When should 95808 or 95810 be considered instead?
Those codes describe polysomnography that includes sleep staging. Use them when the study includes EEG-based sleep staging and meets the applicable parameter criteria, rather than a cardiorespiratory study without sleep staging.
Which modifiers identify the study components?
Use modifier 26 for the professional interpretation and modifier TC for the technical service, including equipment and staff. Without either modifier, the claim represents the global service.
Can the recording equipment or individual signals be billed separately?
The technical component represents the equipment and staff for the study. The code describes the combined cardiorespiratory recording, not separate claims for each recorded signal.
What documentation supports reporting 95807?
Document the clinical indication, technologist attendance, signals recorded, and the interpreting clinician’s report. The record should support that the service was an attended cardiorespiratory study rather than an unattended test or staged polysomnography.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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