{
    "code": "95810",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/95810/2020/A",
    "release_specific_url": "https://localishealth.com/cpt/95810/2020/B",
    "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 Q2 2020?",
        "text": "Medicare paid $621.10 for CPT 95810 in the office (non-facility) setting and $621.10 in a facility under the Q2 2020 Physician Fee Schedule, effective April 2020. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2020, when it decreased 0.7%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2020,
        "quarter": "B",
        "label": "Q2 2020",
        "effective": "April 1 – June 30, 2020",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 621.1,
        "facility": 621.1,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 2.5,
        "practice_expense_non_facility": 14.51,
        "practice_expense_facility": 14.51,
        "malpractice": 0.2
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0896,
    "source": {
        "label": "Physician relative value file (Q2 2020)",
        "cms_url": "https://www.cms.gov/files/zip/rvu20b-updated-05012020.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2020/B",
        "file": "PPRRVU20_APR.csv",
        "row": 16644,
        "sha256": "672d21e247262386ad5b386092de9835fecec65fabbeaae050718f9afeef097b"
    },
    "modified_at": "2026-08-04T03:09:33+00:00"
}