2027 HST Billing and Coding Changes: What to Expect and How to Prepare

Home Sleep Testing (HST) reimbursement is slated for a major overhaul, with changes to billing codes expected to go live on January 1, 2027. With final details from CMS expected later this year, this webinar focuses on insights and strategies to proactively prepare for the upcoming changes.

Fred Turkington, EnsoData’s head of product, explores the expected transition away from the legacy CPT code framework toward a new split-code system. Fred will break down the proposed complexity tiers and help sleep labs and providers prepare for the changes and understand their impact.

Key Takeaways:

• The Proposed Split-Code System: Learn how the anticipated billing structure will shift away from single global codes with modifiers to a new framework.
• Decoding the Complexity Tiers: Discover the new complexity tiers being introduced to the coding ecosystem and understand the specific criteria used to classify your sleep studies.
• Projected Financial Impacts: Explore the anticipated economics of the 2027 changes and find out how projected national average reimbursements could affect your bottom line. 
• The CMS Rule-Making Timeline: Get a clear roadmap of the timeline so you know what to expect.
• How to Prepare Your Technology: Understand how to align your current technology with the projected reimbursement tiers.

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DISCLAIMER: EnsoData™ provides this information for convenience only. Information provided is gathered from third-party sources and is subject to change without notice due to frequently changing laws, rules, and regulations, and should not be construed as legal advice. The provider has the responsibility to determine medical necessity and to submit appropriate codes and charges for care provided. 

EnsoData makes no representation, statement, promise, or guarantee concerning levels of reimbursement, payment, or charge, nor that the use of this information will prevent differences in opinions or disputes with Medicare or other payors as to the correct form of billing or the amount that will be paid to providers. We strongly suggest contacting a Medicare contractor, payor, reimbursement specialist, and/or legal counsel for interpretation of coding, coverage, and payment policies directly.