CPT 95782
Global XXX ActivePolysom <6 yrs 4/> paramtrs
CPT 95782 Billing & Documentation Guide
CPT code 95782 (Polysom <6 yrs 4/> paramtrs) is classified under Neurology with a global period indicator of XXX. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 2.54, a non-facility practice expense RVU of 27.36, and a malpractice RVU of 0.33, a total non-facility RVU of 30.23 and facility RVU of 30.23. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $1049.73, though rates vary from $875.51 to $1417.85 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 95782, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 95782 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
No global period (E/M and other non-procedural services)
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 95782 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 95782
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 2.54 | 2.54 |
| Practice Expense RVU | 27.36 | 27.36 |
| Malpractice RVU | 0.33 | 0.33 |
| Total RVU | 30.23 | 30.23 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 95782
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $1175.19 | $1175.19 | $1093.77 - $1417.85 | 29 |
| Florida | $1023.19 | $1023.19 | $975.04 - $1064.03 | 3 |
| Georgia | $969.96 | $969.96 | $913.13 - $1026.8 | 2 |
| Illinois | $989.21 | $989.21 | $936.41 - $1043.49 | 4 |
| Michigan | $958.46 | $958.46 | $931.63 - $985.29 | 2 |
| North Carolina | $944.5 | $944.5 | $944.5 - $944.5 | 1 |
| New York | $1123.33 | $1123.33 | $960.74 - $1197.3 | 5 |
| Ohio | $930.29 | $930.29 | $930.29 - $930.29 | 1 |
| Pennsylvania | $992.5 | $992.5 | $934.17 - $1050.83 | 2 |
| Texas | $995.23 | $995.23 | $926.68 - $1061.63 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 95782
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 95782 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0178T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0179T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0180T | Column 1 (primary), can be billed with modifier | Yes | CPT Manual or CMS manual coding instruction |
| 0243T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0244T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0295T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0296T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0297T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0298T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
| 0903T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 95782
What does CPT code 95782 mean? +
CPT code 95782 represents: Polysom <6 yrs 4/> paramtrs. It's in the Neurology category with a global period of XXX.
What is the Medicare reimbursement for CPT 95782? +
The 2026 Medicare national average non-facility payment for CPT 95782 is $1049.73. Rates range from $875.51 to $1417.85 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 95782? +
Medicine section spans a wide range: therapy services use GP/GO/GN (PT/OT/SLP plans of care) and KX (above cap with documentation). Drug administration uses JW (waste) and JZ (no waste). Professional/technical split applies to some diagnostic codes.
What bundling edits apply to CPT 95782? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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