Medical Professional Resources
Type 3 Guidelines for Home Sleep Study
CMS Guidelines
(Center for Medicare and Medicaid) Guidelines:
Home sleep test (HST) with Type III portable monitor, unattended with a minimum of 4 channels. Type III devices must include the following channels:
- 2 respiratory movement/airflow
- 1 ECG/heart rate
- 1 oxygen saturation
(HCPCS #G0399, CPT 95806)
AASM Guidelines:
American Academy of Sleep Medicine Guidelines:
Monitoring devices do not record the signals needed to determine sleep stages or sleep disruption. Typically channels include:
4 physiologic variables are measured including:
- 2 respiratory variables
(eg, respiratory movement and airflow) - 1 Cardiac variable
(eg, heart rate or an electrocardiogram) - 1 Arterial oxygen saturation
Some devices may have other signals including a monitor to record snoring, detect light, or a means to determine the body position.
(CPT #95806)
SCOPER Guidelines
What is the new home sleep SCOPER classification system?
A new classification system detailing the type of signals measured by home sleep testing devices for diagnosing obstructive sleep apnea (OSA) appeared in the latest issue of the Journal of Clinical Sleep Medicine. The proposed system categorizes home sleep testing devices, called out-of-center (OOC) testing devices in the paper, based on measurements of the following parameters.
Sleep,
Cardiovascular,
Oximetry,
Position,
Effort, and
Respiratory
Criteria for evaluating the devices are also presented, based on pre-test and post-test probabilities.
“Obstructive Sleep Apnea Devices for Out-Of- Center (OOC) Testing: Technology Evaluation” Journal of Clinical Sleep Medicine, Volume 07 No. 05, 2011
SleepView Clinical Validation
SleepView® Monitor + Web Portal meets SCOPER guidelines with the following scores:
Sleep – 3*
Cardiovascular – 4
Oximetry – 1
Position – 2
Effort – 2
Respiration – 1
*(with web portal)