The Health Care Policy Committee is applying for a change to the CPT code for actigraphy (0089T), from Category III to Category I status. The current code includes testing, recording, analysis and interpretation (for a minimum of three days).
A Category III CPT code is a preliminary code that is used to establish the usage of a particular procedure and the customary charge to the patient for the service. However, CMS will not reimburse for actigraphy until it achieves Category I status.
The Health Policy Committee requests the support of all sleep medicine specialists to achieve Category I status. If you use actigraphy in your clinical practice, the Health Care Policy Committee highly encourages you to code and bill for this testing regardless of your reimbursement expectations.
Learn more about actigraphy via the recently published AASM practice parameter: https://aasm.org/clinical-resources/practice-standards/practice-guidelines/.