Sleep apnea testing: home tests and sleep studies

Before testing: what are you trying to find out?

A healthcare provider reviews your symptoms, medical history and possible risk factors. A partner’s observations may help. The clinical evaluation and the recording are different steps: one frames the question, the other supplies measurements.

Ask why a particular test is recommended and who will interpret it. Tell the clinic about medications and relevant conditions. Follow its preparation instructions; do not change medication because of a general article.

Sources: NHLBI: Diagnosis · AASM diagnostic testing guideline, 2017, original paper

Home sleep apnea test or polysomnography?

A home sleep apnea test (HSAT) is not suitable for every person or every sleep problem. A clinician may recommend an in-lab polysomnogram (PSG) instead. If a home test is negative, inconclusive or technically inadequate, AASM guidance recommends an in-lab polysomnogram to complete the evaluation for OSA. Discuss the next step with the clinician who ordered your test.

Scroll the table horizontally on smaller screens.

Sources: AASM diagnostic testing guideline, 2017, original paper · NHLBI: Diagnosis

The night with the equipment

You should receive instructions for attaching sensors and what to do if something comes loose. Equipment can feel unfamiliar. Ask for written instructions if you will set it up at home.

Note if you barely slept, if the night was unusual or if you think a sensor came off. This helps the interpreting clinician. A consumer sleep tracker or audio recording is not a substitute for the prescribed test.

Sources: NHLBI: Diagnosis · AASM diagnostic testing guideline, 2017, original paper

Afterward: get a plan as well as a report

Ask whether the recording was usable, what the findings mean and whether you need further testing. Persistent symptoms after a reassuring result still deserve discussion.

Clarify who will contact you and who can answer questions. If treatment begins, agree on how its effectiveness will be checked.

• What is the conclusion, and what remains uncertain?
• Which treatment options are appropriate to discuss?
• When and how will we follow up?
• Whom should I contact if symptoms worsen?

Sources: AASM diagnostic testing guideline, 2017, original paper · AASM longitudinal testing guidance, 2021

Check ordering requirements and costs first

Ask the clinic and your insurer whether an order, referral or prior authorization is required, whether the testing service and interpreting clinician are in network, and what you may owe. Requirements depend on your plan and situation.

Request a written estimate that distinguishes the test, interpretation, results appointment and any repeat testing. A recommendation for testing is not a guarantee of insurance payment. Snorehelper does not quote a universal US price or promise coverage.