Prior Auth Required

95811 - Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServicePolysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with
Procedure / Service Description

initiation of continuous positive airway pressure therapy or bi-level ventilation, attended by a technologist - 95810 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist 95811 Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist 95965 Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg,

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.