[kristiaustin]

How are/did other vendors handle the change in Medicare coverage for CPAPs in that the only payable diagnosis now is 327.23, severe sleep apnea? We have some patients who have diagnosis of 780.57 or 780.53 that were payable in the past. ANY info is apprecaited.

[leejgbt]

We inform the physician of the requirement and also look at the sleep study to determine if the physician should have used the OSA diagnosis. If so we ask the physician to correct. Also, before we do the setup or mask fitting we require a copy of the sleep study to determine proper diagnosis. If it is not OSA we have the patient sign an ABN.

[kristiaustin]

Thank you. We are doing that on our new patients but I am now having to go back and do the same thing on exsisting patients who had the OSA and not SOSA diagnosis. I suppose that is all we can do for now.

Thanks for the reply!