$592.95–$645.70
95810 is an attended overnight polysomnography. 95805 is daytime nap testing, often performed after the overnight study.
On this page
CMS RVU26D · Effective 2026-10-01
95805 Sleep latency test Medicare reimbursement rates in Missouri
Reports daytime nap testing that measures sleep propensity, commonly used to evaluate persistent excessive sleepiness and suspected narcolepsy after overnight sleep assessment. Compare 95805 office and facility rates across CMS payment localities in Missouri.
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.
What does Medicare pay for 95805 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$419.48–$458.77
3 of 3 localities have a supported rate.
Facility setting
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 95805 pays more and less in Missouri
3 payment localities
$419.48 to $458.77
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 Missouri, from the same CMS release.
$622.85–$678.33
95811 is an attended polysomnography with positive airway pressure titration; 95805 measures daytime sleep propensity rather than titrating breathing treatment.
$120.85–$130.27
95803 is actigraphy testing. It records sleep-wake patterns over time, whereas 95805 uses scheduled daytime nap opportunities to assess sleep propensity.
Compare 95805 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
$452.98
Facility
Unavailable
Metropolitan St. Louis →
Office / nonfacility
$458.77
Facility
Unavailable
Rest Of Missouri →
Office / nonfacility
$419.48
Facility
Unavailable
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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.
12,52995803,,Actigraphy testing,A,,0.88,3.12,,3.12,NA,0.05,4.05,4.05,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,53095803,26,Actigraphy testing,A,,0.88,0.36,,0.36,,0.04,1.28,1.28,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,53195803,TC,Actigraphy testing,A,,0.00,2.76,,2.76,NA,0.01,2.77,2.77,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
12,53295805,,Multiple sleep latency test,A,,1.17,13.02,,13.02,NA,0.17,14.36,14.36,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,53395805,26,Multiple sleep latency test,A,,1.17,0.51,,0.51,,0.05,1.73,1.73,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
12,53495805,TC,Multiple sleep latency test,A,,0.00,12.51,,12.51,NA,0.12,12.63,12.63,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,01,0,99,0.00,0.00,0.00
12,53595806,,Sleep study unatt&resp efft,A,,0.91,2.12,,2.12,NA,0.06,3.09,3.09,1,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00