PSG is distinguished from sleep studies by the inclusion of sleep staging. The studies are performed to diagnose a variety of sleep disorders and to evaluate a patient’s response to therapies such as continuous positive airway pressure (CPAP). A technologist is physically present to supervise the recording during sleep time and has the ability to intervene, if needed. Sleep Studies and Polysomnography (PSG) refers to the continuous and simultaneous monitoring and recording of various physiological and pathophysiological parameters of sleep furnished in a sleep laboratory facility that includes physician review, interpretation and report. Coverage GuidanceĬoverage Indications, Limitations, and/or Medical Necessity Contractors are prohibited from changing national NCD language/wording. Italicized font -represents CMS national NCD language/wording copied directly from CMS Manuals or CMS Transmittals. Section 240.4 Continuous Positive Airway Pressure (CPAP) Therapy For Obstructive Sleep Apnea (OSA) (Effective March 13, 2008)ĬMS Publication 100-02 Medicare Benefit Policy Chapter 6, Section 50 Sleep Disorder ClinicsĬMS Publication 100-02, Medicare Benefit Policy Manual, Chapter 15, Section 70 Sleep Disorder ClinicsĬMS Decision Memo for Sleep Testing for Obstructive Sleep Apnea (OSA) (CAG-00405N)ĬMS Decision Memo for Continuous Positive Airway Pressure Therapy for Obstructive Sleep Apnea (CAG-00093R2)ĬR 10901 Local Coverage Determinations (LCDs) Implementation date January 8, 2019. Section 240.4.1 Sleep Testing for Obstructive Sleep Apnea (OSA) (Effective March 3, 2009) and 100-8, Program Integrity Manual, Chapter 13, Section 13.5.1 Reasonable and Necessary Provisions in the LCDsĬMS Publication 100-03 Medicare National Coverage Determination (NCD) Manual) Chapter 1, When the documentation does not meet the criteria for the service rendered, or the documentation does not establish the medical necessity for the services, such services will be denied as not reasonable and necessary under Section 1862(a)(1) of the Social Security Act.ĬMS Pub. Not endorsed by the AHA or any of its affiliates. Presented in the material do not necessarily represent the views of the AHA. Preparation of this material, or the analysis of information provided in the material. The American Hospital Association (the "AHA") has not reviewed, and is not responsible for, the completeness orĪccuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the Resale and/or to be used in any product or publication creating any modified or derivative work of the UB‐04 Manual and/or codes and descriptions Īnd/or making any commercial use of UB‐04 Manual or any portion thereof, including the codes and/or descriptions, is onlyĪuthorized with an express license from the American Hospital Association. Making copies or utilizing the content of the UB‐04 Manual, including the codes and/or descriptions, for internal purposes, If an entity wishes to utilize any AHA materials, please contact the AHA at 312‐893‐6816. AHA copyrighted materials including the UB‐04 codes andĭescriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work No portion of the American Hospital Association (AHA) copyrighted materials contained within this publication may beĬopied without the express written consent of the AHA. All rights reserved.Ĭopyright © 2022, the American Hospital Association, Chicago, Illinois. The AMA assumes no liability for data contained or not contained herein.Ĭurrent Dental Terminology © 2022 American Dental Association. The AMA does not directly or indirectly practice medicine or dispense medical services. Applicable FARS/HHSARS apply.įee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not Wisconsin Physicians Service Insurance CorporationĪMA CPT / ADA CDT / AHA NUBC Copyright StatementĬPT codes, descriptions and other data only are copyright 2022 American Medical Association.
0 Comments
Leave a Reply. |