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doi:10.1378/chest.08-0538
(Chest. 2008; 134:425-429)
© 2008 American College of Chest Physicians
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Pediatric Home Apnea Monitors*

Coding, Billing, and Updated Prescribing Information for Practice Management

Ann C. Halbower, MD

* From the Department of Pediatrics and the Children’s Hospital Sleep Center, The Children’s Hospital and University of Colorado, Denver, Health Sciences Center, Aurora, CO.

Correspondence to: Ann C. Halbower, MD, Director, Pediatric Sleep Research, The Children’s Hospital and University of Colorado, Denver, School of Medicine, 13123 E Sixteenth Ave, B-395, Aurora, CO 80045; e-mail: halbower.ann{at}tchden.org

Abstract

A series of new current procedural terminology codes have been created that allow health-care providers to code and bill for pediatric home apnea monitoring in the United States. Apnea monitors have been used at home on pediatric patients at risk for sudden death for > 30 years without the benefit of evidence-based efficacy studies. Nevertheless, new apnea monitor devices with expanded capability have been developed. Recommended indications for pediatric home apnea monitors are outdated and vague. It is important for the prescribing health-care provider to understand device function, as well as the pathophysiology of cardiorespiratory events in different disease states in order to make logical decisions about which monitor to prescribe, or whether to prescribe one at all. This article will review what apnea monitors are designed to do, common misperceptions about device indications vs device capability, and updated suggestions regarding the prescription, billing, and coding of pediatric apnea monitors for pediatric practice management.

Key Words: apnea monitor • apparent life-threatening event • billing • cardiorespiratory monitor • coding • infant monitor • sudden infant death syndrome






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