AHA Coding Clinic® for HCPCS - 2022 Quarter 2; In This Issue
New CPT code for drug-induced sleep endoscopy
Effective January 1, 2022, the American Medical Association (AMA) released a new code to capture Drug-Induced Sleep Endoscopy (DISE) - CPT code 42975 , Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic. DISE is not a new technique and was previously reported with CPT codes 31575 , Laryngoscopy, flexible; diagnostic, and 31622 , Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure), or with CPT code 92502 , Otolaryngologic examination under general anesthesia. However, the procedure now has a unique code to accurately...
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Article Overview
This article covers the introduction of a new AMA CPT code for drug-induced sleep endoscopy, along with a general discussion of sleep-disordered breathing and obstructive sleep apnea. It explains the clinical context in which the procedure may be used, reviews common noninvasive and surgical treatment categories, and helps coding professionals understand the scope of the diagnostic service now captured by the new code.
Why This Topic Matters
It matters to coders and clinical documentation teams because it identifies a dedicated CPT code for a diagnostic airway evaluation procedure and situates that change within the workup of sleep-disordered breathing. The article also helps readers recognize when the broader diagnostic and treatment context may be relevant to coding and documentation review.
Article Sections
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New CPT code for drug-induced sleep endoscopy
Introduces the new AMA code and describes the procedure’s role in evaluating sleep-disordered breathing. It also notes the general clinical context in which the service is performed.
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Obstructive sleep apnea
Provides background on obstructive sleep apnea as a common sleep-related breathing disorder and discusses general diagnostic and treatment considerations.
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Surgical treatment options
Reviews broad categories of surgical approaches discussed in the article for managing sleep-related airway obstruction.
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Conclusion
Summarizes the role of the diagnostic procedure in evaluating upper airway obstruction and selecting treatment options.
What You Will Learn
- What the article covers regarding a new CPT code for a diagnostic sleep-related procedure
- How drug-induced sleep endoscopy fits into the evaluation of sleep-disordered breathing
- The broader clinical context of obstructive sleep apnea and its treatment categories
- Why the article is relevant to coding and documentation review for airway evaluation services
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation improvement staff
- Otolaryngology practices
- Sleep medicine professionals
Codes Discussed
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