{
    "code": "95810",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/95810/2019/A",
    "release_specific_url": "https://localishealth.com/cpt/95810/2019/C",
    "description": "A full night's sleep study in a sleep laboratory for a patient aged roughly school-age or older. Sensors record brain waves, eye movement and chin muscle tone to score the stages of sleep, plus several further channels - airflow at the nose and mouth, chest and abdominal effort, blood oxygen, heart rhythm and leg movement. A technologist stays in the building through the night, watching the signals and fixing sensors that come loose, which is what makes it an attended study rather than a home test. This is the diagnostic recording only; the companion code adds a breathing-pressure treatment trial during the same night.",
    "answer": {
        "question": "How much did Medicare pay for CPT 95810 in Q3 2019?",
        "text": "Medicare paid $625.28 for CPT 95810 in the office (non-facility) setting and $625.28 in a facility under the Q3 2019 Physician Fee Schedule, effective July 2019. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2019, when it decreased 2.1%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2019,
        "quarter": "C",
        "label": "Q3 2019",
        "effective": "July 1 – September 30, 2019",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 625.28,
        "facility": 625.28,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 2.5,
        "practice_expense_non_facility": 14.65,
        "practice_expense_facility": 14.65,
        "malpractice": 0.2
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0391,
    "source": {
        "label": "Physician relative value file (Q3 2019)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu19c.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2019/C",
        "file": "PPRRVU19_JUL.csv",
        "row": 16388,
        "sha256": "2ea00e3e75fc3a53497bb8eb3c7d29a58404efd9449993daa6f80791a770b47a"
    },
    "modified_at": "2026-08-04T03:09:02+00:00"
}