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ACG
​
h.o.l.M.E.S.

Automated Clinical Guidelines

64582, 64583, 64584, 95782, 95783, 95800, 95801, 95805, 95806, 95807, 95808, 95810, 95811, A4604, A7027, A7028, A7029, A7030, A7031, A7032, A7033, A7034, A7035, A7036, A7037, A7038, A7039, A7044, A7045, A7046, C1767, D9947, D9948, E0470, E0471, E0485, E0486, E0561, E0562, E0601, E1399, G0398, G0399, G0400, 4A1ZXQZ

Sleep

Bi-Level Positive Airway Pressure Devices
Anthem
Home Sleep Testing (HST)
Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea
Anthem
Medicare
Management of Obstructive Sleep Apnea using Auto Titrating and Continuous Positive Airway Pressure Devices
Anthem
Management of Obstructive Sleep Apnea using Oral Appliances
Anthem
Multiple Sleep Latency Testing and Maintenance of Wakefulness Testing
Anthem
Acoustic Pharyngometers and SNAP Testing System
Aetna
Polysomnography and Home Sleep Apnea Testing
Anthem
Polysomnography for Non-Respiratory Sleep Disorders
Sleep Studies-Adult
Humana
Sleep Studies-Pediatric
Humana
FloridaBlue
Sleep Testing

Indicates Non-covered Service

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Facility Based Sleep Studies for Obstructive Sleep Apnea
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Facility Based Sleep Studies
Humana
MA
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Sleep Studies
UHC
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