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Wiki Sleep Study Frequency

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lafael03

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Escanaba, Michigan
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I am looking for information regarding a new oral appliance for OSA. The procedure code is E0486. Pt has already had an appliance over 5+ years ago and is due for a new one. She has a new prescription from her PCP. The question is: Is there a timeframe on when the last diagnostic sleep study had to been done? I do not see anything in the guidelines. Thank you!
 
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Here is information from CMS E0486, I don't see anything about a timeline for a sleep study. I do see that the patient has to have had a prior sleep study with a qualifying diagnosis. That being said, if your patient had a prior study done and the acceptable Dx, you should be okay to go through with this.
 
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