After surgical or oral appliance treatment of patients with moderate to severe OSA ģ. Weight gain or loss of ten percent of body weight Ģ. A repeat polysomnogram before five years will be covered for the following indications:ġ. One polysomnogram/sleep study will be covered every five years unless there is a significant change in patient status.
#Icd 10 code for cataplexy trial
CPAP trial attempted but not tolerated by patient.Ĭ. Criteria for obstructive sleep apnea met late in study with insufficient sleep time left for continuous positive airway pressure (CPAP) titration ģ. Examples include, but are not limited to, the following:Ģ. CPT code 95810 is only allowable when the sleep study does not demonstrate events consistent with sleep apnea or PAP titration cannot be completed for unforeseen reasons as documented in the polysomnography report. Polysomnography/sleep study should be performed with the intent to complete the study with titration of positive airway pressure (PAP) i.e., CPT code 95811. UnitedHealthcare Community Plan does not require prior authorization and/or advance notification for unattended sleep testing performed at home. Which sleep-related procedure codes do not require prior authorization and/or notification?Ī. 95806 – Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement) – average fee amount – $170 – $180ĩ5805 – Multiple sleep latency or maintenance of wakefulness testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepinessĩ5807 – Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologistĩ5808 – Polysomnography sleep staging with 1-3 additional parameters of sleep, attended by a technologistĩ5810 – Polysomnography sleep staging with 4 or more additional parameters of sleep, attended by a technologistĩ5811 – Polysomnography 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
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