Pulmonology · CMS status A
95810
Polysomnography 4+ params
Polysomnography, attended; age 6 years or older, sleep staging with 4 or more additional parameters.
Work RVU
3.10
2026 Medicare pays
$445.57
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 3.10 + Practice 9.93 + Malpractice 0.31 = 13.34 total
Work (your effort)Practice expenseMalpractice
When to use it
In-lab attended polysomnography.
Full guidance
Use 95811 if titration also performed.
Documentation checklist
- ✓Indication.
- ✓Attended by qualified technologist.
- ✓Sleep staging plus ≥4 parameters (EOG, EMG, EKG, airflow, effort, SpO2).
- ✓AHI, sleep architecture, oxygen nadir.
Common pitfalls
- !95811 if CPAP titration performed in the same study.
Common modifiers
26TC
Common ICD-10 pairings
G47.33G47.30
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.