TREATING

Central Sleep Apnea

remedē® SYSTEM REIMBURSEMENT

remedē System receives positive coverage decision from Aetna for CSA treatment

The following information provides hospital coding and reimbursement information for procedures associated with placement of the remedē® System to treat central sleep apnea.*

Hospital Outpatient
CPT® Code1 Description OPPS APC OPPS Status
Indicator
0424T Insertion or replacement of neurostimulator system for treatment of central sleep apnea; complete system (transvenous placement of right or left stimulation lead, sensing lead, implantable pulse generator) 5464 J1
0425T sensing lead only 5462 J1
0426T stimulation lead only 5463 J1
0427T pulse generator only 5463 J1
0428T Removal of neurostimulator system for treatment of central sleep apnea; pulse generator only 5461 Q2
0429T sensing lead only 5461 Q2
0430T stimulation lead only 5461 Q2
0431T Removal and replacement of neurostimulator system for treatment of central sleep apnea, pulse generator only 5463 J1
0432T Repositioning of neurostimulator system for treatment of central sleep apnea; stimulation lead only 5461 T
0433T sensing lead only 5461 T
0434T Interrogation device evaluation implanted neurostimulator pulse generator system for central sleep apnea 5742 S
0435T Programming device evaluation of implanted neurostimulator pulse generator system for central sleep apnea; single session 5742 S
0436T during sleep session 5724 S

Questions?

For more information, please contact +1-952-540-4470 or email reimbursement@respicardia.com.

1.   Current Procedural Terminology (CPT®) Professional Edition 2017. Copyright 2016 American Medical Association. All rights reserved.

*Disclaimer: This document is for informational purposes only and is not legal advice or official guidance from payors. It is not intended to increase or maximize reimbursement by any payor. Hospitals and physicians are solely responsible for being in compliance with Medicare and other payor rules and requirements for the information submitted with all claims and appeals. Respicardia does not warrant or guarantee that the use of this information will result in coverage or payment. Before any claims or appeals are submitted, hospitals and physicians should review official payor instructions and requirements, should confirm the accuracy of their coding or billing practices with these payors and should use independent judgment when selecting codes that most appropriately describe the services or supplies provided to a patient. CPT five-digit numeric codes, descriptions, and numeric modifiers are © 2018 AMA. All rights reserved.

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