AHA Coding Clinic® for HCPCS - 2008 Issue 3; FOR your INFORMATION

Continuous positive airway pressure (CPAP) therapy

The Centers for Medicare & Medicaid (CMS) has revised its National Coverage Determination for Continuous Positive Airway Pressure (CPAP) for Obstructive Sleep Apnea (OSA). This revised coverage, which became effective for services on or after March 13, 2008, now allows for coverage of CPAP when used in adult patients that were diagnosed with OSA by home sleep testing. CMS has created three new G codes to report home sleep testing for CPAP therapy. The new G code, which also became effective for services on or after March 13, 2008, and their corresponding code descriptors are located in the Table...

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