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95808 Polysom any age 1-3> param

What 95808 is

CMS fee schedule short descriptor: Polysom any age 1-3> param.

Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.

Medicare payment for 95808 (CY2026)

Work RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)1.7013.440.2015.34$512.37
Facility (hospital, ASC)1.7013.440.2015.34$512.37

National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.


Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply.

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Medically Unlikely Edit (MUE)

Medicare caps 95808 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 95808? These codes are bundled into it

95808 is a Column 1 code in 97 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 codeShort descriptionModifier indicator
0903TEcg alg 12 lead reduced i&r1 - modifier may bypassCheck pair
0904TEcg alg 12 ld rdcd trcg only1 - modifier may bypassCheck pair
0905TEcg alg 12 ld rdcd i&r only1 - modifier may bypassCheck pair
0937TXtrnl ecg rec>15d<30d1 - modifier may bypassCheck pair
0938TXtrnl ecg rec>15d<30d rec1 - modifier may bypassCheck pair
0939TXtrnl ecg rec>15d<30d scan1 - modifier may bypassCheck pair
0940TXtrnl ecg rec>15d<30d r&i1 - modifier may bypassCheck pair
36591Draw blood off venous device0 - no modifier bypassCheck pair
36592Collect blood from picc0 - no modifier bypassCheck pair
54250Nctrnl pen tmscn&/rgdity tst0 - no modifier bypassCheck pair
91034Gastroesophageal reflux test0 - no modifier bypassCheck pair
92270Electro-oculography w/i&r1 - modifier may bypassCheck pair
93000Electrocardiogram complete1 - modifier may bypassCheck pair
93005Electrocardiogram tracing1 - modifier may bypassCheck pair
93010Electrocardiogram report1 - modifier may bypassCheck pair
93040Rhythm ecg with report1 - modifier may bypassCheck pair
93041Rhythm ecg tracing1 - modifier may bypassCheck pair
93042Rhythm ecg report1 - modifier may bypassCheck pair
93224Xtrnl ecg rec up to 48 hrs1 - modifier may bypassCheck pair
93225Xtrnl ecg rec<48 hrs rec1 - modifier may bypassCheck pair
93226Xtrnl ecg rec<48 hr scan a/r1 - modifier may bypassCheck pair
93227Xtrnl ecg rec<48 hr r&i1 - modifier may bypassCheck pair
93241Xtrnl ecg rec>48hr<7d1 - modifier may bypassCheck pair
93242Ext ecg>48hr<7d recording1 - modifier may bypassCheck pair
93243Ext ecg>48hr<7d scan a/r1 - modifier may bypassCheck pair
93244Ext ecg>48hr<7d rev&interpj1 - modifier may bypassCheck pair
93245Ext ecg>7d<15d rec scan a/r1 - modifier may bypassCheck pair
93246Ext ecg>7d<15d recording1 - modifier may bypassCheck pair
93247Ext ecg>7d<15d scan a/r1 - modifier may bypassCheck pair
93248Ext ecg>7d<15d rev&interpj1 - modifier may bypassCheck pair

Showing 30 of 97 column 2 codes. Use the pair checker for any specific combination.

95808 is bundled into these codes

95808 appears as a Column 2 code in 2 active edits. Reported with one of these Column 1 codes on the same date of service, 95808 is the code that denies.

Column 1 codeShort descriptionModifier indicator
95782Polysom <6 yrs 4/> paramtrs0Check pair
95783Polysom <6 yrs cpap/bilvl0Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.