Sleep Apnea and Breathing Related Sleep Disorders in Adults
Specialty Matched Consultant Advisory Panel review – 6/21/04. Multiple updates and clarifications. Under Section I – "When not Covered" – B. Unattended (unsupervised) sleep studies are considered investigational. Under Section II – "When Covered" – A. Medical Management, good faith effort at CPAP compliance added; B. Surgical Management, clinically significant UARS included; "When not Covered" – C. Additional non-covered surgical procedures listed, including RFVTR (Somnoplasty) of nasal turbinates, the Repose System, injection snoreplasty, CAPSO. Section I – "Billing/Coding" – removed deleted CPT code 99508. Section II – "Billing/Coding" – added the following HCPCS codes: A7032, A7033, A7034, A7035, A7036, A7037, A7038, A7039, E0470, E0471, E0472, E0561, E0562, S2080; Removed CPT codes 42825, 42826; Removed the following deleted HCPCS codes: K0183–K0189, K0268, K0531, K0532, K0533, K0534. Sources added. Notification given 10/14/04. Effective date 12/23/04.