CPT 95811 AND covered diagnosis

Medicare is establishing the following coverage for CPT/HCPCs 95811: 

Covered for ICD-9-CM indications:
278.01 MORBID OBESITY
307.41 - 307.48 TRANSIENT DISORDER OF INITIATING OR MAINTAINING SLEEP - REPETITIVE INTRUSIONS OF SLEEP
327.20 - 327.23 ORGANIC SLEEP APNEA, UNSPECIFIED - OBSTRUCTIVE SLEEP APNEA (ADULT) (PEDIATRIC)
327.26 - 327.27 SLEEP RELATED HYPOVENTILATION/HYPOXEMIA IN CONDITIONS CLASSIFIABLE ELSEWHERE - CENTRAL SLEEP APNEA IN CONDITIONS CLASSIFIED ELSEWHERE
327.29 OTHER ORGANIC SLEEP APNEA
327.30 - 327.37 CIRCADIAN RHYTHM SLEEP DISORDER, UNSPECIFIED - CIRCADIAN RHYTHM SLEEP DISORDER IN CONDITIONS CLASSIFIED ELSEWHERE
327.39 OTHER CIRCADIAN RHYTHM SLEEP DISORDER
327.40 - 327.44 ORGANIC PARASOMNIA, UNSPECIFIED - PARASOMNIA IN CONDITIONS CLASSIFIED ELSEWHERE
327.49 OTHER ORGANIC PARASOMNIA
327.8 OTHER ORGANIC SLEEP DISORDERS
347.00 - 347.01 NARCOLEPSY, WITHOUT CATAPLEXY - NARCOLEPSY, WITH CATAPLEXY
347.10 - 347.11 NARCOLEPSY IN CONDITIONS CLASSIFIED ELSEWHERE, WITHOUT CATAPLEXY - NARCOLEPSY IN CONDITIONS CLASSIFIED ELSEWHERE, WITH CATAPLEXY
518.83 CHRONIC RESPIRATORY FAILURE
780.51 INSOMNIA WITH SLEEP APNEA, UNSPECIFIED
780.53 HYPERSOMNIA WITH SLEEP APNEA, UNSPECIFIED
780.57 - 780.58 UNSPECIFIED SLEEP APNEA - SLEEP RELATED MOVEMENT DISORDER, UNSPECIFIED

1 comment:

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