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

This article provides billing and coding guidance for hypoglossal nerve stimulation (HNS) procedures for obstructive sleep apnea, specifying CPT codes for implantation (64582), revision/replacement of chest wall electrodes (64583), cranial pulse generator replacement (61886), and removal (64584). Coverage is subject to the reasonable and necessary requirements in LCD L38398, and all medical records must be legible, signed, support the chosen ICD-10-CM codes, and accurately describe the CPT/HCPCS service billed; non-covered services must not be billed as covered and should use the appropriate modifier.

"Implantation of a hypoglossal nerve stimulator (HNS) for the treatment of obstructive sleep apnea (OSA) is billed with CPT 64582."

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