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 |
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