Reimbursement of in-Lab Polysomnography
Now Requires Documentation
Insurers now require documentation of the suspected behavior, disorder and presentation to reimburse for laboratory-based polysomnography (PSG) monitoring.
Blue Cross Blue Shield of Kansas City considers home sleep tests medically necessary unless physicians document the presence of a comorbidity that might alter ventilation or decrease the accuracy of a home sleep study. Co-morbidities include but are not limited to heart failure, neuromuscular disease, chronic pulmonary disease and obesity hypoventilation syndrome.
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