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BETA v.3.0

2025 CPT code 95803

Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording).

Do not report 95803 more than once in any 14-day period. Do not report 95803 in conjunction with polysomnography codes (95806-95811) if performed as part of the same sleep study.

Modifiers may be applicable. Modifier 52 may be used to indicate reduced services if the recording is less than 72 hours but is considered clinically significant.

Medical necessity for actigraphy must be established by documenting the patient's sleep-related symptoms and the clinical rationale for using actigraphy to aid in diagnosis or treatment planning.

The physician or other qualified healthcare professional is responsible for ordering and interpreting the actigraphy test, reviewing the data collected, and providing a diagnosis and treatment plan based on the findings. They also ensure proper patient education and follow-up care.

In simple words: Actigraphy is a simple test that tracks your movement over several days to help your doctor understand your sleep patterns. You wear a small device like a watch, and it records how much you move. This information helps doctors diagnose sleep problems.

Actigraphy involves the continuous recording of gross motor movement over an extended period, typically 72 hours to 14 days. A small, non-invasive device worn by the patient, often on the wrist or ankle, measures and transmits movement data to a computer. This data is then analyzed and interpreted to assess rest and activity cycles, providing insights into sleep patterns and potential sleep disorders. The service includes the recording, analysis, interpretation, and a report of the findings.

Example 1: A patient complains of excessive daytime sleepiness and difficulty falling asleep at night. Actigraphy is used to assess their sleep-wake patterns over a week to aid in diagnosing potential circadian rhythm disorders., A patient with restless legs syndrome undergoes actigraphy to evaluate the frequency and duration of their limb movements during sleep, helping determine the effectiveness of treatment., A patient with insomnia uses actigraphy to monitor their sleep patterns at home over two weeks, providing data on sleep onset, total sleep time, and wake episodes for accurate diagnosis and personalized treatment.

Documentation should include the patient's medical history, sleep-related complaints, duration of actigraphy recording, interpretation of the actigraphy data, diagnosis, and treatment plan.

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