CPT code 95808: Polysomnography, sleep staging, 1–3 parameters2026 Medicare rate & RVUs in Pennsylvania
Attended polysomnography for any age with sleep staging and one to three additional sleep parameters, reported when the study meets this limited parameter scope.
Medicare pays $475.19–$533.09 for 95808 in the office in Pennsylvania, from Rest of Pennsylvania to Metropolitan Philadelphia, PA. 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 95808 covers
This code describes an attended overnight sleep study that records sleep staging along with one to three additional sleep parameters. Sleep staging uses signals such as EEG, eye movement, and chin muscle activity; additional signals may include airflow, respiratory effort, oxygen saturation, or heart rhythm. A sleep technologist monitors the study, commonly in a sleep laboratory, and a qualified physician interprets the recorded data to assess sleep disorders such as sleep apnea or abnormal sleep behaviors.
Select 95808 when the study is attended and includes sleep staging plus one to three additional parameters. The report and recording documentation should identify the signals obtained, confirm technologist attendance, and support the physician’s interpretation. CMS recognizes separately priced professional and technical components: modifier 26 reports interpretation, modifier TC reports equipment and staff, and no component modifier represents the global service. The billing entity should report the component it furnished.
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 95808 pays more and less in Pennsylvania
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Philadelphia, PA | $533.09 | Unavailable |
| Rest of Pennsylvania | $475.19 | Unavailable |
How the 95808 rate is calculated
Each of 95808’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 · 95808
RVUs × geographic indexes × conversion factor
Work1.70
1.70 RVUs× 1.000 GPCI
Practice expense13.44
13.44 RVUs× 1.000 GPCI
Malpractice0.20
0.20 RVUs× 1.000 GPCI
Adjusted RVUs
15.3400
Conversion factor
$33.4009
Medicare rate
$512.37
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 95808
The CMS indicators that decide how 95808 is paid alongside other services.
CMS payment indicators · 95808
Polysomnography, sleep staging, 1–3 parameters
| 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
95808 without 26 · national office
$512.37
Polysomnography, sleep staging, 1–3 parameters
95808-26 · Professional component
$81.50
Pays only the interpretation and report.
95808 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 95810Sleep studyAge six or older, attended
- Use 95808 for sleep staging with one to three additional parameters; 95810 is the higher-parameter attended polysomnography service.
- 95811Sleep studyPAP titration, age 6+
- 95811 includes PAP titration during polysomnography. 95808 is for the limited-parameter attended study without that titration service.
- 95807Sleep studyTechnologist-attended recording
- 95807 captures an attended cardiorespiratory sleep study. 95808 requires sleep staging plus one to three additional sleep parameters.
- 95806Sleep studyHeart rate and respiratory signals
- 95806 is an unattended sleep study with respiratory effort; 95808 is an attended study that includes sleep staging.
95808 billing questions
How is 95808 different from 95810?
Both are attended polysomnography, but 95808 covers sleep staging with one to three additional parameters. Use 95810 for the applicable study with four or more parameters.
When is 95811 used instead?
95811 describes polysomnography with PAP titration. Choose 95808 for a study in its limited-parameter scope without that titration service.
What do modifiers 26 and TC represent?
Modifier 26 identifies the professional interpretation, while TC identifies the technical service, including equipment and staff. Reporting without either modifier represents the global service.
What documentation supports 95808?
The record should show that a technologist attended, identify sleep-staging signals and the one to three additional parameters recorded, and include the physician’s interpretation.
How does 95808 differ from 95807?
95808 includes sleep staging and one to three additional parameters. 95807 is an attended sleep study focused on specified cardiorespiratory measurements rather than sleep staging.
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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