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Wiki Unspecified sleep apnea 780.57

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carolynsmithers

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I am struggling with one of the sleep codes and would like some advice. I have spoken with several offices that use the 780.57 unspecified sleep apnea for the initial consult. The patient is then sent to a sleep lab where the diagnosis is either confirmed or not. I know the code is in the symptoms, signs, and ill defined conditions section in the ICD-9 book but, aren't we labelling that patient with an unproven diagnosis? Several insurance companies deny the sleep study for anything other that 780.57.
Thanks
 
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