G0399 Home sleep test/type 3 porta
What G0399 is
Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation
HCPCS Level II long description, CMS October 2026 file. See the G codes page for the full section.
Medicare payment for G0399 (CY2026)
This code has no Physician Fee Schedule rate: Carrier-priced - the Medicare contractor sets the price. It may be paid under a different fee schedule (clinical laboratory, DMEPOS, anesthesia) or not paid at all - check the relevant CMS schedule.
Medically Unlikely Edit (MUE)
Medicare caps G0399 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 G0399? These codes are bundled into it
G0399 is a Column 1 code in 92 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 code | Short description | Modifier indicator | |
|---|---|---|---|
0733T | Rem r-t mtn nrehab ther sply | 0 - no modifier bypass | Check pair |
0903T | Ecg alg 12 lead reduced i&r | 1 - modifier may bypass | Check pair |
0904T | Ecg alg 12 ld rdcd trcg only | 1 - modifier may bypass | Check pair |
0905T | Ecg alg 12 ld rdcd i&r only | 1 - modifier may bypass | Check pair |
0937T | Xtrnl ecg rec>15d<30d | 1 - modifier may bypass | Check pair |
0938T | Xtrnl ecg rec>15d<30d rec | 1 - modifier may bypass | Check pair |
0939T | Xtrnl ecg rec>15d<30d scan | 1 - modifier may bypass | Check pair |
0940T | Xtrnl ecg rec>15d<30d r&i | 1 - modifier may bypass | Check pair |
36591 | Draw blood off venous device | 0 - no modifier bypass | Check pair |
36592 | Collect blood from picc | 0 - no modifier bypass | Check pair |
92270 | Electro-oculography w/i&r | 0 - no modifier bypass | Check pair |
93000 | Electrocardiogram complete | 1 - modifier may bypass | Check pair |
93005 | Electrocardiogram tracing | 1 - modifier may bypass | Check pair |
93010 | Electrocardiogram report | 1 - modifier may bypass | Check pair |
93040 | Rhythm ecg with report | 1 - modifier may bypass | Check pair |
93041 | Rhythm ecg tracing | 1 - modifier may bypass | Check pair |
93042 | Rhythm ecg report | 1 - modifier may bypass | Check pair |
93224 | Xtrnl ecg rec up to 48 hrs | 0 - no modifier bypass | Check pair |
93225 | Xtrnl ecg rec<48 hrs rec | 0 - no modifier bypass | Check pair |
93226 | Xtrnl ecg rec<48 hr scan a/r | 0 - no modifier bypass | Check pair |
93227 | Xtrnl ecg rec<48 hr r&i | 0 - no modifier bypass | Check pair |
93241 | Xtrnl ecg rec>48hr<7d | 0 - no modifier bypass | Check pair |
93242 | Ext ecg>48hr<7d recording | 0 - no modifier bypass | Check pair |
93243 | Ext ecg>48hr<7d scan a/r | 0 - no modifier bypass | Check pair |
93244 | Ext ecg>48hr<7d rev&interpj | 0 - no modifier bypass | Check pair |
93245 | Ext ecg>7d<15d rec scan a/r | 0 - no modifier bypass | Check pair |
93246 | Ext ecg>7d<15d recording | 0 - no modifier bypass | Check pair |
93247 | Ext ecg>7d<15d scan a/r | 0 - no modifier bypass | Check pair |
93248 | Ext ecg>7d<15d rev&interpj | 0 - no modifier bypass | Check pair |
94200 | Lung function test (mbc/mvv) | 1 - modifier may bypass | Check pair |
Showing 30 of 92 column 2 codes. Use the pair checker for any specific combination.
G0399 is bundled into these codes
G0399 appears as a Column 2 code in 11 active edits. Reported with one of these Column 1 codes on the same date of service, G0399 is the code that denies.
| Column 1 code | Short description | Modifier indicator | |
|---|---|---|---|
95782 | Polysom <6 yrs 4/> paramtrs | 0 | Check pair |
95783 | Polysom <6 yrs cpap/bilvl | 0 | Check pair |
95800 | Slp stdy unattended | 0 | Check pair |
95801 | Slp stdy unatnd w/anal | 0 | Check pair |
95805 | Multiple sleep latency test | 0 | Check pair |
95806 | Sleep study unatt&resp efft | 0 | Check pair |
95807 | Sleep study attended | 0 | Check pair |
95808 | Polysom any age 1-3> param | 0 | Check pair |
95810 | Polysom 6/> yrs 4/> param | 0 | Check pair |
95811 | Polysom 6/>yrs cpap 4/> parm | 0 | Check pair |
G0398 | Home sleep test/type 2 porta | 0 | Check 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.