Billing and Coding: Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea

This billing and coding article maps hypoglossal nerve stimulator (HNS) procedures for obstructive sleep apnea to the appropriate CPT codes (implantation CPT 64582; revision/replacement CPT 64583 and CPT 61886 for pulse generator replacement with ≥2 arrays; removal CPT 64584) and instructs providers to follow LCD L38385 for reasonable and necessary clinical criteria. All documentation must be maintained in the medical record, include patient identifiers and provider signature, and must support the selected ICD-10-CM and CPT/HCPCS codes; services not meeting LCD coverage are non-covered and must be billed with the appropriate modifier.

"Implantation of a hypoglossal nerve stimulator (HNS) for the treatment of obstructive sleep apnea (OSA) is billable using CPT 64582 when the implantation is reasonable and necessary per LCD L38385."

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