Medica policy

Sleep Studies for Initial Diagnosis of Obstructive Sleep Apnea

Sleep Studies for Initial Diagnosis of Obstructive Sleep Apnea is a public Medica policy (effective Oct 1, 2025). It lists 12 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

View the original policy (PDF) ↗

Payer: Medica
Effective: Oct 1, 2025
Line of business: Commercial, Medicaid
Source: partner.medica.com

Codes in this policy

The CPT and HCPCS codes the policy names. A policy can name a code it excludes.

Code	Other Medica policies
95782	Policies naming 95782
95783	Policies naming 95783
95800	Policies naming 95800
95801	Policies naming 95801
95806	Policies naming 95806
95807	Policies naming 95807
95808	Policies naming 95808
95810	Policies naming 95810
95811	Policies naming 95811
G0398	Policies naming G0398
G0399	Policies naming G0399
G0400	Policies naming G0400

All Medica policies

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.