We are conducting a multiple sleep latency study. However, we are only recording two nap opportunity sessions. Would we need a modifier in this scenario?


In cases of reduced service where fewer than four nap opportunities are recorded, the service should be reported with modifier 52 (reduced services). Report code 95805. Only one unit of service should be submitted for this code and all naps done on a single day are represented with this code.

This question was answered in our Coding Essentials for RT/Pulmonary Function. For more hot topics relating to respiratory services, please visit our store or call us at 1.800.252.1578, ext. 2.


CPT® copyright 2021 American Medical Association (AMA). All rights reserved.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.