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

Hypoglossal nerve stimulation for OSA is billed with CPT 64582 (implantation), 64583 (revision/replacement), and 64584 (removal) — reduced services use modifier 52 — and NCCI edits may restrict code combinations (this guidance does not override NCCI). Key requirements: follow LCD L38312 for medical necessity, do not bill 64582 with 64583/64584 (or 64583 with 64584), use modifier 52 for partial revisions/removals, and maintain complete medical records available to the contractor on request.