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Supported Line of Business: Commercial & Medicare Advantage

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An unattended, at-home diagnostic test ordered by a clinician to evaluate for obstructive sleep apnea (OSA) — submitted to Bridge as a billable service, distinct from the E/M visits that precede and follow it.

📌 This service line has a coding change coming January 1, 2027 — i.e. the existing CPT codes will be replaced with unknown code sets. Bridge will stay close to these changes and communicate impact to Partners as applicable.

Overview

A Sleep Study is not a visit type — it's a diagnostic service that sits inside a three-part clinical path:

  1. Pre-Diagnosis visit — a standard E/M encounter where the clinician evaluates symptoms and orders the sleep study. The order should be in the Plan section of the SOAP note format, alongside any other labs, Rx, imaging applicable orders.
  2. Sleep Study — the test & results itself, submitted to Bridge as a service, (billed as CPT 95800.)
  3. Post-Study Follow-Up visit — a standard E/M encounter where the clinician reviews results and finalizes diagnosis coding and treatment plan based on the Sleep Study results.

The key distinction from other service lines: The Sleep Study service is not billed or leveled like an E/M visit or an element-based code (compare to Cognitive Assessment's 10-element requirement). It's billed as a discrete diagnostic service, and its documentation requirements are structured around the device output rather than MDM, time, or required elements.

Dimension Pre-Diagnosis Visit Sleep Study (Service) Post-Study Follow-Up Visit
Billing code Standard E/M (99202–99215) Sleep Study (95800) Standard E/M (99202–99215)
Submitted as SOAP chart note Service note SOAP chart note
Diagnosis coding Symptom-based (avoid definitive OSA codes) Reflects study indication Definitive (G47.33) if OSA confirmed in the study

Consent Requirements

Standard Bridge telehealth consent applies to the Pre-Diagnosis and Post-Study Follow-Up E/M visits (see Service Line Guide: Medical (E&M) for more details on submitting E/M visits to Bridge.)

There isn't a separate signed consent form required specifically for the at-home testing device. The one device-specific requirement to document is patient instruction: the patient must receive both written and verbal instruction on proper use of the portable monitoring device before the study. This is captured in the Sleep Study Note's "Description" field (see below) and should be documented for every study.

Service Frequency & Scope