Medium impact
Claims for Sleep Study Procedure Codes Billed With Modifier TC or Modifier 26
Nevada Medicaid·Effective Mar 24, 2025
CPT 95782, in plain terms, covers A sleep study for children under six years old measuring four or more factors like breathing, heart rate, and oxygen levels. CPT 95782 is referenced in 1 tracked payer policy change from Nevada Medicaid. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for CPT 95782 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.
Official descriptor: CPT 95782 on AAPC
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