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

This billing and coding policy maps specific CPT codes to implantation, revision/replacement, and removal of hypoglossal and cranial nerve neurostimulators used to treat obstructive sleep apnea, and requires use of modifier 52 for reduced services. Do not bill specified CPT code combinations together as listed; follow NCCI edits and the reasonable and necessary clinical requirements in Proposed LCD L38528. All patient medical records must be legible, include patient identifiers and provider signature, and support the selected diagnosis codes.

"Use CPT 64582 for open implantation of a hypoglossal nerve neurostimulator array, pulse generator, and distal respiratory sensor electrode or electrode array for treatment of obstructive sleep apne..."

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