Titration Duration for 95811

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Titration Duration for 95811

Postby SleepinTexas » Thu Jun 29, 2017 7:09 pm

Hello, I was wondering if anyone knew about certain insurances requiring 4 hours of titration or if such rule exists for the study to be classified as 95811? Any guidance is greatly appreciated.
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Re: Titration Duration for 95811

Postby somnonaut » Thu Jun 29, 2017 8:13 pm

The AASM guidelines of CPAP performance covers hours of titration portion.
http://www.aasmnet.org/Resources/clinic ... 040210.pdf

" This recommendation is based on consensus agreement by
the PAP Titration Task Force. As per split-night study criteria
in the AASM practice parameters for the indications for PSG5
: (a) an AHI of at least 40 is documented during a minimum of
2 hours of diagnostic PSG. Split-night studies may sometimes
be considered at an AHI of 20 to 40, based on clinical judgment
(e.g., if there are also repetitive long obstructions and major desaturations).
However, at AHI values below 40, determination
of CPAP pressure requirements, based on split-night studies,
may be less accurate than in full-night calibrations. (b) CPAP titration is
carried out for more than 3 hours
(because respiratory events can worsen
as the night progresses)."
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Re: Titration Duration for 95811

Postby SleepinTexas » Fri Jun 30, 2017 1:56 pm

Thank you somno!!!
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Re: Titration Duration for 95811

Postby somnonaut » Fri Jun 30, 2017 2:13 pm

CMS might have longer timeframe for your region, check them out.
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