Tag Archives: 780.52
Posted on 13. Sep, 2009 by .
Coders have dealt with denials of treatments for obstructive sleep apnea for years, but proper coding should make now make genioglossus advancement —a radical OSA treatment — reimbursable.
Recently, the American Academy of Otolaryngology — Head and Neck Surgery sent letters to Wisconsin Physician Services and Anthem Blue Cross regarding their coverage policies for mandibular segmental osteotomy with genioglossus advancement (21199, Osteotomy, mandible, segmental; with genioglossus advancement) when performed to treat obstructive sleep apnea (OSA).
Serious Condition, Radical Treatment
Obstructive sleep apnea (327.23, Organic sleep apnea; obstructive sleep apnea [adult] [pediatric]) describes a blockage of the upper airway that causes the patient to be unable to breathe. One of the ways an ENT can alleviate this potentially life-threatening condition is with genioglossus advancement.
Posted on 29. Apr, 2009 by .
Thanks to the green light CMS gave sleep testing in March, you may have an easier time receiving reimbursement for sleep studies–provided you meet certain guidelines for the types of patients you test and the equipment you use. Here’s what’s on your plate.
New: CMS announced March 3 that it will cover specified sleep tests that pulmonologists use to confirm the diagnosis in patients who have clinical signs and symptoms of obstructive sleep apnea (327.23). The agency will cover tests your pulmonologist conducts in a sleep laboratory facility in addition to many types of home sleep testing.