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CMS RVU26D · Effective 2026-10-01

95805 in Delaware

Office / nonfacility

$474.04

Base rate per service

Facility setting

Not available in this setting

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Sleep medicine

About 95805: Multiple sleep latency test

Reports daytime nap testing that measures sleep propensity, commonly used to evaluate persistent excessive sleepiness and suspected narcolepsy after overnight sleep assessment.

A multiple sleep latency test uses repeated, scheduled daytime nap opportunities to assess how readily a patient falls asleep and whether sleep-onset features support a central hypersomnolence disorder such as narcolepsy. A sleep technologist typically conducts the recording in a sleep laboratory, and a qualified interpreting professional reviews the results and prepares the report. The test commonly follows an overnight attended polysomnography as part of an evaluation for persistent excessive daytime sleepiness.

Report 95805 for the daytime test, not for the preceding overnight study or for each nap opportunity separately. The record should support the clinical reason for testing and include the test findings and interpretation. CMS recognizes a professional component, reported with modifier 26, and a technical component, reported with modifier TC; reporting the code without a modifier represents the global service, including both components. CMS separately prices the 26 and TC services.

CMS billing rules for 95805

Professional and technical components
Diagnostic test with a professional component (modifier 26, interpretation) and a technical component (modifier TC, equipment and staff); billing without a modifier is the global service.

Where the value comes from

  • Work RVU1.17 · 8%
  • Practice expense (office) RVU13.02 · 91%
  • Malpractice RVU0.17 · 1%

1.8K

Medicare services in 2024 · #2553 by national volume

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.

95805 compared with similar codes

Office rates for Delaware, from the same CMS release.

95810

Sleep study

Age six or older, attended

$666.22

95810 is an attended overnight polysomnography. 95805 is daytime nap testing, often performed after the overnight study.

95811

Sleep study

PAP titration, age 6+

$699.88

95811 is an attended polysomnography with positive airway pressure titration; 95805 measures daytime sleep propensity rather than titrating breathing treatment.

95803

Actigraphy testing

At least 72 hours

$134.00

95803 is actigraphy testing. It records sleep-wake patterns over time, whereas 95805 uses scheduled daytime nap opportunities to assess sleep propensity.

The same code, a different location

How does Delaware compare?

95805 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $474.04

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $558.91

    $84.87 higher than Delaware

  3. Dc + Md/Va Suburbs

    $559.80

    $85.76 higher than Delaware

  4. Miami

    $506.15

    $32.11 higher than Delaware

  5. Chicago

    $489.44

    $15.40 higher than Delaware

  6. Manhattan

    $555.92

    $81.88 higher than Delaware

  7. Alaska*

    $524.89

    $50.85 higher than Delaware

Other payment areas listed in Delaware appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 95805 ranges from $415.56 in Arkansas to $673.52 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Alabama

    Alabama · 95805

    Office

    $422.81

    Facility

    Unavailable

    $51.23 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 95805

    Office

    $415.56

    Facility

    Unavailable

    $58.48 lower than Delaware for the office setting.

  • Arizona

    Arizona · 95805

    Office

    $465.34

    Facility

    Unavailable

    $8.70 lower than Delaware for the office setting.

  • Bakersfield

    California · 95805

    Office

    $519.91

    Facility

    Unavailable

    $45.87 higher than Delaware for the office setting.

  • Chico

    California · 95805

    Office

    $519.42

    Facility

    Unavailable

    $45.38 higher than Delaware for the office setting.

  • El Centro

    California · 95805

    Office

    $519.44

    Facility

    Unavailable

    $45.40 higher than Delaware for the office setting.

  • Fresno

    California · 95805

    Office

    $519.42

    Facility

    Unavailable

    $45.38 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 95805

    Office

    $519.42

    Facility

    Unavailable

    $45.38 higher than Delaware for the office setting.

  • Madera

    California · 95805

    Office

    $519.42

    Facility

    Unavailable

    $45.38 higher than Delaware for the office setting.

  • Merced

    California · 95805

    Office

    $519.42

    Facility

    Unavailable

    $45.38 higher than Delaware for the office setting.

  • Modesto

    California · 95805

    Office

    $519.42

    Facility

    Unavailable

    $45.38 higher than Delaware for the office setting.

  • Napa

    California · 95805

    Office

    $617.60

    Facility

    Unavailable

    $143.56 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 95805

    Office

    $557.74

    Facility

    Unavailable

    $83.70 higher than Delaware for the office setting.

  • Redding

    California · 95805

    Office

    $519.42

    Facility

    Unavailable

    $45.38 higher than Delaware for the office setting.

  • Rest Of California

    California · 95805

    Office

    $519.42

    Facility

    Unavailable

    $45.38 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 95805

    Office

    $521.25

    Facility

    Unavailable

    $47.21 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 95805

    Office

    $549.29

    Facility

    Unavailable

    $75.25 higher than Delaware for the office setting.

  • Salinas

    California · 95805

    Office

    $547.36

    Facility

    Unavailable

    $73.32 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 95805

    Office

    $563.45

    Facility

    Unavailable

    $89.41 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 95805

    Office

    $658.58

    Facility

    Unavailable

    $184.54 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 95805

    Office

    $658.39

    Facility

    Unavailable

    $184.35 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 95805

    Office

    $673.52

    Facility

    Unavailable

    $199.48 higher than Delaware for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 95805

    Office

    $672.73

    Facility

    Unavailable

    $198.69 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 95805

    Office

    $538.11

    Facility

    Unavailable

    $64.07 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 95805

    Office

    $571.32

    Facility

    Unavailable

    $97.28 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 95805

    Office

    $550.29

    Facility

    Unavailable

    $76.25 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 95805

    Office

    $577.33

    Facility

    Unavailable

    $103.29 higher than Delaware for the office setting.

  • Stockton

    California · 95805

    Office

    $519.42

    Facility

    Unavailable

    $45.38 higher than Delaware for the office setting.

  • Vallejo

    California · 95805

    Office

    $617.32

    Facility

    Unavailable

    $143.28 higher than Delaware for the office setting.

  • Visalia

    California · 95805

    Office

    $519.42

    Facility

    Unavailable

    $45.38 higher than Delaware for the office setting.

  • Yuba City

    California · 95805

    Office

    $519.42

    Facility

    Unavailable

    $45.38 higher than Delaware for the office setting.

  • Colorado

    Colorado · 95805

    Office

    $506.69

    Facility

    Unavailable

    $32.65 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 95805

    Office

    $515.10

    Facility

    Unavailable

    $41.06 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 95805

    Office

    $489.88

    Facility

    Unavailable

    $15.84 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 95805

    Office

    $463.36

    Facility

    Unavailable

    $10.68 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 95805

    Office

    $487.85

    Facility

    Unavailable

    $13.81 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 95805

    Office

    $433.76

    Facility

    Unavailable

    $40.28 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 95805

    Office

    $536.82

    Facility

    Unavailable

    $62.78 higher than Delaware for the office setting.

  • Iowa

    Iowa · 95805

    Office

    $439.25

    Facility

    Unavailable

    $34.79 lower than Delaware for the office setting.

  • Idaho

    Idaho · 95805

    Office

    $441.85

    Facility

    Unavailable

    $32.19 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 95805

    Office

    $450.60

    Facility

    Unavailable

    $23.44 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 95805

    Office

    $445.00

    Facility

    Unavailable

    $29.04 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 95805

    Office

    $496.04

    Facility

    Unavailable

    $22.00 higher than Delaware for the office setting.

  • Indiana

    Indiana · 95805

    Office

    $444.97

    Facility

    Unavailable

    $29.07 lower than Delaware for the office setting.

  • Kansas

    Kansas · 95805

    Office

    $435.07

    Facility

    Unavailable

    $38.97 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 95805

    Office

    $430.88

    Facility

    Unavailable

    $43.16 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 95805

    Office

    $454.75

    Facility

    Unavailable

    $19.29 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 95805

    Office

    $429.39

    Facility

    Unavailable

    $44.65 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 95805

    Office

    $564.98

    Facility

    Unavailable

    $90.94 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 95805

    Office

    $502.16

    Facility

    Unavailable

    $28.12 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 95805

    Office

    $513.35

    Facility

    Unavailable

    $39.31 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 95805

    Office

    $484.78

    Facility

    Unavailable

    $10.74 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 95805

    Office

    $442.70

    Facility

    Unavailable

    $31.34 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 95805

    Office

    $473.63

    Facility

    Unavailable

    $0.41 lower than Delaware for the office setting.

  • Detroit

    Michigan · 95805

    Office

    $468.31

    Facility

    Unavailable

    $5.73 lower than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 95805

    Office

    $442.53

    Facility

    Unavailable

    $31.51 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 95805

    Office

    $488.25

    Facility

    Unavailable

    $14.21 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 95805

    Office

    $452.98

    Facility

    Unavailable

    $21.06 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 95805

    Office

    $458.77

    Facility

    Unavailable

    $15.27 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 95805

    Office

    $419.48

    Facility

    Unavailable

    $54.56 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 95805

    Office

    $417.71

    Facility

    Unavailable

    $56.33 lower than Delaware for the office setting.

  • Montana**

    Montana · 95805

    Office

    $479.63

    Facility

    Unavailable

    $5.59 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 95805

    Office

    $448.45

    Facility

    Unavailable

    $25.59 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 95805

    Office

    $476.26

    Facility

    Unavailable

    $2.22 higher than Delaware for the office setting.

  • Nebraska

    Nebraska · 95805

    Office

    $442.62

    Facility

    Unavailable

    $31.42 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 95805

    Office

    $496.76

    Facility

    Unavailable

    $22.72 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 95805

    Office

    $552.07

    Facility

    Unavailable

    $78.03 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 95805

    Office

    $521.76

    Facility

    Unavailable

    $47.72 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 95805

    Office

    $444.68

    Facility

    Unavailable

    $29.36 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 95805

    Office

    $479.12

    Facility

    Unavailable

    $5.08 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 95805

    Office

    $569.20

    Facility

    Unavailable

    $95.16 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 95805

    Office

    $523.90

    Facility

    Unavailable

    $49.86 higher than Delaware for the office setting.

  • Queens

    New York · 95805

    Office

    $563.80

    Facility

    Unavailable

    $89.76 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 95805

    Office

    $456.21

    Facility

    Unavailable

    $17.83 lower than Delaware for the office setting.

  • Ohio

    Ohio · 95805

    Office

    $441.85

    Facility

    Unavailable

    $32.19 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 95805

    Office

    $431.84

    Facility

    Unavailable

    $42.20 lower than Delaware for the office setting.

  • Portland

    Oregon · 95805

    Office

    $527.08

    Facility

    Unavailable

    $53.04 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 95805

    Office

    $476.21

    Facility

    Unavailable

    $2.17 higher than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 95805

    Office

    $499.27

    Facility

    Unavailable

    $25.23 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 95805

    Office

    $443.66

    Facility

    Unavailable

    $30.38 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 95805

    Office

    $484.34

    Facility

    Unavailable

    $10.30 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 95805

    Office

    $494.12

    Facility

    Unavailable

    $20.08 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 95805

    Office

    $445.73

    Facility

    Unavailable

    $28.31 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 95805

    Office

    $475.87

    Facility

    Unavailable

    $1.83 higher than Delaware for the office setting.

  • Tennessee

    Tennessee · 95805

    Office

    $437.43

    Facility

    Unavailable

    $36.61 lower than Delaware for the office setting.

  • Austin

    Texas · 95805

    Office

    $504.29

    Facility

    Unavailable

    $30.25 higher than Delaware for the office setting.

  • Beaumont

    Texas · 95805

    Office

    $440.09

    Facility

    Unavailable

    $33.95 lower than Delaware for the office setting.

  • Brazoria

    Texas · 95805

    Office

    $474.79

    Facility

    Unavailable

    $0.75 higher than Delaware for the office setting.

  • Dallas

    Texas · 95805

    Office

    $477.44

    Facility

    Unavailable

    $3.40 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 95805

    Office

    $473.17

    Facility

    Unavailable

    $0.87 lower than Delaware for the office setting.

  • Galveston

    Texas · 95805

    Office

    $475.93

    Facility

    Unavailable

    $1.89 higher than Delaware for the office setting.

  • Houston

    Texas · 95805

    Office

    $479.04

    Facility

    Unavailable

    $5.00 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 95805

    Office

    $456.91

    Facility

    Unavailable

    $17.13 lower than Delaware for the office setting.

  • Utah

    Utah · 95805

    Office

    $452.96

    Facility

    Unavailable

    $21.08 lower than Delaware for the office setting.

  • Virginia

    Virginia · 95805

    Office

    $470.57

    Facility

    Unavailable

    $3.47 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 95805

    Office

    $484.34

    Facility

    Unavailable

    $10.30 higher than Delaware for the office setting.

  • Vermont

    Vermont · 95805

    Office

    $472.48

    Facility

    Unavailable

    $1.56 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 95805

    Office

    $501.84

    Facility

    Unavailable

    $27.80 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 95805

    Office

    $579.27

    Facility

    Unavailable

    $105.23 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 95805

    Office

    $457.44

    Facility

    Unavailable

    $16.60 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 95805

    Office

    $425.11

    Facility

    Unavailable

    $48.93 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 95805

    Office

    $478.16

    Facility

    Unavailable

    $4.12 higher than Delaware for the office setting.

See how rates vary across the country

95805 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$415.56

$596.47

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$524.891
AL$422.811
AR$415.561
AZ$465.341
CA$519.42–$673.5229
CO$506.691
CT$515.101
DC$559.801
DE$474.041
FL$463.36–$506.153
GA$433.76–$487.852
GU$536.821
HI$536.821
IA$439.251
ID$441.851
IL$445.00–$496.044
IN$444.971
KS$435.071
KY$430.881
LA$429.39–$454.752
MA$502.16–$564.982
MD$484.78–$559.803
ME$442.70–$473.632
MI$442.53–$468.312
MN$488.251
MO$419.48–$458.773
MS$417.711
MT$479.631
NC$448.451
ND$476.261
NE$442.621
NH$496.761
NJ$521.76–$552.072
NM$444.681
NV$479.121
NY$456.21–$569.205
OH$441.851
OK$431.841
OR$476.21–$527.082
PA$443.66–$499.272
PR$484.341
RI$494.121
SC$445.731
SD$475.871
TN$437.431
TX$440.09–$504.298
UT$452.961
VA$470.57–$559.802
VI$484.341
VT$472.481
WA$501.84–$579.272
WI$457.441
WV$425.111
WY$478.161

Explore 95805 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Delaware →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 95805 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$521.44

$474.04 × 110% = $521.44

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 95805 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

12,532

Code
95805
Physician work
1.17
Practice expense
13.02
Malpractice
0.17

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 95805 in Delaware
ComponentRVULocality factorAdjusted
Physician work1.17× 1.0051.1758
Practice expense13.02× 0.98812.8638
Malpractice0.17× 0.8990.1528
Total RVUs14.1924
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$474.04

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 95805 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.171.005
Practice expense13.020.988
Malpractice0.170.899

(1.17 × 1.005 + 13.02 × 0.988 + 0.17 × 0.899) × $33.4009 = $474.04

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

95805 · Office / nonfacility

$474.04

Effective 2026-10-01

The base rate is $51.34 higher than on 2025-10-01, moving from $422.70 to $474.04 (12.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $422.70changed to$474.04

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.20 changed to 1.17
    • Practice expense RVU 11.79 changed to 13.02
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $422.70

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$474.04Not available in this settingRVU26D
2026-07-01$474.04Not available in this settingRVU26C
2026-04-01$474.04Not available in this settingRVU26B
2026-01-01$474.04Not available in this settingRVU26A
2025-10-01$422.70Not available in this settingRVU25D
2025-07-01$422.70Not available in this settingRVU25C
2025-04-01$422.70Not available in this settingRVU25B
2025-01-01$422.70Not available in this settingRVU25A

95805 billing questions

When is 95805 appropriate instead of an overnight sleep study?

Use 95805 for daytime nap testing of sleep propensity, often when evaluating persistent excessive sleepiness or suspected narcolepsy. An overnight polysomnography evaluates sleep during the night and may precede the MSLT.

Can the preceding polysomnography also be reported?

The overnight study and the daytime MSLT are distinct services. When both are performed, report the appropriate code for each documented test.

How are the professional and technical components reported?

Report modifier 26 for the professional interpretation and modifier TC for the technical service. Without either modifier, 95805 represents the global service.

Should a unit be reported for each nap opportunity?

No. Report the MSLT as the test service rather than billing each scheduled nap opportunity as a separate unit.

What documentation supports 95805?

Document the clinical indication for daytime sleepiness testing, the nap-test findings, and the interpreting professional's report. The record should distinguish the daytime MSLT from any overnight sleep study.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 95805PPRRVU2026_Oct_nonQPP.csv, line 12,532 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet