PAP Nap (CPT 95807-52): $150 per session (up to 90 minutes)
Daytime session to assist patients with PAP acclimation, including coaching on mask fit, comfort, and initial usage. Summary report provided to the referring provider.
Individual Sleep Education (CPT 98960): $60 per 30-minute session
One-on-one education focusing on sleep hygiene, PAP therapy adherence, and behavioral support tailored to the patient’s needs.
Small Group Sleep Education (CPT 98961): $100 per 45-minute session
Group session for 2–4 patients. Covers standardized sleep education topics such as PAP use, sleep hygiene, therapy barriers, and lifestyle habits. Promotes engagement and shared support.
Large Group Sleep Education (CPT 98962): $100 per 45-minute session
Group session for 5–8 patients. Includes structured curriculum delivery and patient interaction on core sleep health concepts and adherence support.
Sleep Study Scoring (CPT 94799): $50 per study
Manual scoring of diagnostic and titration sleep studies with delivery of detailed reports within 48–72 hours.
Home Sleep Test (HST) Setup (CPT 95800): $100 per setup
Setup and instruction for unattended home sleep testing devices, including device application, patient education, and troubleshooting guidance.
Effective [Insert Date]
All services are provided by a certified Sleep Health Educator as an independent contractor. Providers are billed directly; no claims are submitted to insurance.
CPT Code: 95807-52
Rate: $150 per session (up to 90 minutes)
Includes:
Pre-session screening and prep
In-session PAP acclimation coaching
Post-session summary report
CPT Code: 98960
Rate: $60 per 30-minute session
Includes:
Tailored behavioral and sleep hygiene coaching
Adherence counseling for PAP or insomnia treatment
Documentation for EMR or clinical recordkeeping
CPT Code: 98962
Rate: $100 per 45-minute group session
Includes:
Evidence-based sleep education
Group interaction facilitation
Summary notes for referring provider
CPT Code: 94799
Rate: $50 per study (flat fee)
Includes:
Manual scoring of diagnostic, titration, or split-night PSGs
Results delivered within 48–72 hours
HIPAA-compliant report submission
Volume discounts available for ongoing or high-volume contracts.
All services are HIPAA-compliant and performed under written agreement.
Provider is responsible for all patient billing and coding documentation.
Invoices are issued biweekly or monthly depending on contract terms.