Medicare deckt CPT 87002 (Schlaf-EEG, erste Stunde) nicht ab

CPT 87002 (Electroencephalography, sleep, other than all‑night; first hour) is not covered by Medicare for reimbursement.

Reason

Medicare considers sleep EEGs that are not full‑night polysomnography (CPT 95810, 95811) as investigative or not medically necessary for diagnosing sleep disorders. Coverage is limited to attended, full‑night studies performed in a sleep lab.

Alternatives

• 95810 – Polysomnography, age 6+, attended, 4+ parameters.
• 95811 – Polysomnography with CPAP titration.
• Home sleep apnea testing (HSAT) codes (G0398, G0399, G0400) for eligible patients.

Verify coverage with the specific Medicare Administrative Contractor (MAC) and check for local coverage determinations (LCDs).