[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-1-en-105":3,"doc-seo-170213-105":53,"doc-detail-170213-en":127},{"code":4,"msg":5,"data":6},0,"success",[7,14,19,24,29,34,39,44,49],{"id":8,"doc_module":9,"doc_module_name":10,"category_name":11,"show_sort_weight":12,"slug":13},11,1,"Template","Presentations",90,"presentations",{"id":15,"doc_module":9,"doc_module_name":10,"category_name":16,"show_sort_weight":17,"slug":18},12,"Resumes",80,"resumes",{"id":20,"doc_module":9,"doc_module_name":10,"category_name":21,"show_sort_weight":22,"slug":23},14,"Invoices",70,"invoices",{"id":25,"doc_module":9,"doc_module_name":10,"category_name":26,"show_sort_weight":27,"slug":28},15,"Posters",60,"posters",{"id":30,"doc_module":9,"doc_module_name":10,"category_name":31,"show_sort_weight":32,"slug":33},16,"Social Media",50,"social-media",{"id":35,"doc_module":9,"doc_module_name":10,"category_name":36,"show_sort_weight":37,"slug":38},17,"Forms",40,"forms",{"id":40,"doc_module":9,"doc_module_name":10,"category_name":41,"show_sort_weight":42,"slug":43},18,"Letters",30,"letters",{"id":45,"doc_module":9,"doc_module_name":10,"category_name":46,"show_sort_weight":47,"slug":48},21,"Paper Templates",5,"papers-templates",{"id":50,"doc_module":9,"doc_module_name":10,"category_name":51,"show_sort_weight":4,"slug":52},158,"General","general-158",{"code":4,"msg":54,"data":55},"ok",{"site_id":56,"language":57,"slug":58,"title":59,"keywords":60,"description":61,"schema_data":62,"social_meta":120,"head_meta":122,"extra_data":124,"updated_unix":126},105,"en","billing-template-letter-diagnostic-sleep-study-cpt-95810-and-95811","Billing Template Letter - Diagnostic Sleep Study CPT 95810 and 95811","","Letter template addressing billing inaccuracies for diagnostic sleep studies, focusing on Current Procedural Terminology (CPT) codes 95810 and 95811. The draft argues that policy limitations preventing reimbursement when the two codes are billed within 30 days conflict with American Academy of Sleep Medicine (AASM) clinical practice guidance. It explains that 95810 and 95811 correspond to distinct polysomnography tests performed for different purposes on separate nights, and that repeat testing decisions depend on clinical status and physician judgment rather than elapsed time. Requests an amendment to support accurate billing and high-quality patient care.",{"@graph":63,"@context":119},[64,80,102],{"@type":65,"itemListElement":66},"BreadcrumbList",[67,71,74,77],{"item":68,"name":69,"@type":70,"position":9},"https://docshare.wps.com","Home","ListItem",{"item":72,"name":10,"@type":70,"position":73},"https://docshare.wps.com/template/",2,{"item":75,"name":41,"@type":70,"position":76},"https://docshare.wps.com/template/letters/",3,{"item":78,"name":59,"@type":70,"position":79},"https://docshare.wps.com/template/billing-template-letter-diagnostic-sleep-study-cpt-95810-and-95811/170213/",4,{"url":78,"name":59,"@type":81,"image":82,"author":87,"headline":59,"publisher":90,"fileFormat":93,"inLanguage":57,"description":61,"dateModified":94,"datePublished":95,"encodingFormat":93,"isAccessibleForFree":96,"interactionStatistic":97},"DigitalDocument",{"url":83,"@type":84,"width":85,"height":86},"https://docshare.wps.com/thumbnails/billing-template-letter-diagnostic-sleep-study-cpt-95810-and-95811/170213.png","ImageObject",442,249,{"name":88,"@type":89},"Tawan","Person",{"url":68,"name":91,"@type":92},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-10-19","2026-09-01",true,{"@type":98,"interactionType":99,"userInteractionCount":101},"InteractionCounter",{"@type":100},"ViewAction",6,{"@type":103,"mainEntity":104},"FAQPage",[105,111,115],{"name":106,"@type":107,"acceptedAnswer":108},"What billing issue does the letter address for CPT 95810 and 95811?","Question",{"text":109,"@type":110},"It addresses an inaccuracy stating that CPT 95810 and 95811 cannot be reimbursed if billed within 30 days of each other.","Answer",{"name":112,"@type":107,"acceptedAnswer":113},"How does the letter justify why CPT 95810 and 95811 should be treated differently?",{"text":114,"@type":110},"It states CPT 95810 is used for diagnostic polysomnography to diagnose sleep disorders, while CPT 95811 is used for polysomnography with titration of therapy such as CPAP.",{"name":116,"@type":107,"acceptedAnswer":117},"What change does the letter request from the payer?",{"text":118,"@type":110},"It urges a review and amendment of the policy to align with AASM clinical practice guidelines so accurate billing supports appropriate patient care.","https://schema.org",{"og:url":78,"og:type":121,"og:title":59,"og:site_name":91,"og:description":61},"article",{"robots":123,"canonical":78},"index,follow",{"doc_id":125,"site_id":56},170213,1790536671,{"code":4,"msg":5,"data":128},{"doc_id":125,"user_id":129,"nickname":88,"user_avatar":130,"doc_module":9,"category_id":40,"category_name":41,"doc_title":59,"doc_description":61,"doc_content":131,"file_id":132,"file_url":133,"file_type":134,"file_size":135,"view_count":101,"is_deleted":4,"is_public":9,"is_downloadable":9,"audit_status":9,"page_count":9,"language":136,"language_code":57,"site_id":56,"html_lang":57,"table_of_contents":137,"faqs":138,"seo_title":139,"seo_description":61,"update_tm":140,"read_time":4},2336475104042,"https://ap-avatar.wpscdn.com/avatar/22000c4c32af1715be0?x-image-process=image/resize,m_fixed,w_180,h_180&k=1786537525561427321","Date\nName\nTitle\nPayer\u000bAddress\nCity, State, ZIP\nSent via email:\nDear ______________,\nI am writing to bring to your attention an inaccuracy in your policy regarding the billing for diagnostic sleep studies, specifically the use of Current Procedural Terminology (CPT) codes 95810 and 95811. The current policy does not allow 95810 and 95811 to be reimbursed if billed within 30 days of each other. However, this policy is in conflict with established clinical practice guidelines published by the American Academy of Sleep Medicine (AASM). According to AASM, CPT codes 95810 and 95811 represent two distinct tests performed for different purposes and on separate nights:\nCPT 95810 is used for polysomnography to diagnose sleep disorders.\nCPT 95811 is utilized for polysomnography with titration of therapy, such as Continuous Positive Airway Pressure (CPAP).\nThe AASM Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea does not establish a required timeframe between diagnostic polysomnography and in-laboratory PAP titration studies. Decisions regarding the need for repeat diagnostic testing are based on changes in clinical status and physician judgment, not the age of a prior study. These tests are often necessary for comprehensive patient care and cannot be combined or restricted. Denying payment for either code when billed separately but within 30 days contradicts their appropriate clinical and procedural application.\nI urge you to review and amend this policy to align with established clinical practice guidelines. Doing so will ensure accurate billing practices and support the delivery of high-quality care for your members. Thank you for your attention to this matter, and I look forward to your response. If you have any questions or would like to discuss, please contact ______________________ at _________________________.\nSincerely,","cbCaigrmdvYpkH42","https://ap.wps.com/l/cbCaigrmdvYpkH42","docx",28030,"English","# Billing Policy Dispute\n## CPT 95810 and CPT 95811 Distinction\n## AASM Guideline and Billing Timeframe","[{\"question\":\"What billing issue does the letter address for CPT 95810 and 95811?\",\"answer\":\"It addresses an inaccuracy stating that CPT 95810 and 95811 cannot be reimbursed if billed within 30 days of each other.\"},{\"question\":\"How does the letter justify why CPT 95810 and 95811 should be treated differently?\",\"answer\":\"It states CPT 95810 is used for diagnostic polysomnography to diagnose sleep disorders, while CPT 95811 is used for polysomnography with titration of therapy such as CPAP.\"},{\"question\":\"What change does the letter request from the payer?\",\"answer\":\"It urges a review and amendment of the policy to align with AASM clinical practice guidelines so accurate billing supports appropriate patient care.\"}]","Billing Template Letter - Diagnostic Sleep Study CPT 95810 and 95811 | DOCX",1788269128]