The Centers for Medicare & Medicaid Services (CMS) has proposed adding capnography to the practice expense for pediatric polysomnography codes 95782 and 95783 starting in 2015. The proposal is a direct result of AASM advocacy efforts. This proposal is outlined in the 2015 Medicare Physician Fee Schedule Proposed Rule.
After the addition of pediatric polysomnography codes to the Medicare fee schedule in 2013, the AASM identified that CMS had neglected to include capnography in the practice expense calculation for the two new codes. The AASM immediately began advocating for CMS to recognize capnography as an integral part of the pediatric polysomnography services. The AASM has immediate plans to submit comments to the CMS supporting the proposal to recognize capnography as a critical element of practice expense for pediatric polysomnography.
All AASM advocacy efforts are sustained by your membership: thank you for supporting the field of sleep medicine as an AASM member. AASM analysts are currently reviewing the Medicare proposed rule. The AASM will report on additional policy changes proposed for 2015 in future editions of the Weekly Update.