tci Part B Insider - 2005 Issue 20

Unattended Sleep Testing Not Covered

Don't bill Medicare for polysomnography performed in the home or a mobile facility, because the Centers for Medicare and Medicaid Services (CMS) decided that unattended testing isn't reasonable or necessary.Medicare will pay you for continuous positive airway pressure (CPAP) therapy for adult patients with moderate to severe obstructive sleep apnea (OSA), if surgery is a likely alternative to CPAP, according to a May 12 Medlearn Matters article.Don't overlook: You can order and prescribe CPAP devices if your patient's Apnea-Hypopnea Index (AHI) is greater than or equal to 15 events per hour, or greater than or equal to...

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