Everything you need to refer a patient — billing codes for all Goodnite Sleep Solution services plus our downloadable referral form. Questions? Call us at (909) 335-0335.
Our streamlined referral pathway is designed to make it easy for ordering physicians to get patients scheduled quickly. Download the form, fax it over, and we'll handle the rest.
Download our standardized referral form (PDF). Complete it with the patient's demographics, diagnosis, and preferred study type, then fax to our scheduling team.
Download Referral FormBilling codes for all Goodnite Sleep Solution services — sleep studies, EEG diagnostics, and DME supplies.
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep; attended by a technologist.
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep; with initiation of continuous positive airway pressure therapy or bilevel ventilation; attended by a technologist.
Sleep study, unattended, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, unattended by a technologist.
Polysomnography; under the age of 6 years, sleep staging with 4 or more additional parameters of sleep; attended by a technologist.
Electroencephalogram (EEG) extended monitoring; length 41–60 minutes.
Electroencephalogram (EEG) extended monitoring; length 61–119 minutes.
Electroencephalogram (EEG) including recording awake and drowsy.
Electroencephalogram (EEG) including recording awake and asleep.
CPAP device.
BiPAP device.
BiPAP/ST device.
Heated humidifier.
Full face mask frame.
Face mask cushion.
Nasal cushion.
Nasal pillow.
Nasal mask.
Headgear device.
Chin strap device.
Tubing.
Heated tubing.
Filter, disposable.
Filter, non-disposable.
Humidifier chamber.