Chapter 4
Section 8.1
Respiratory System
Issue Date: August 26, 1985
Copyright: CPT
only © 2006 American Medical Association (or such other date of
publication of CPT).
All Rights Reserved.
Revision: C-57, December 13, 2019
1.0 CPT
PROCEDURE CODES
30000 - 32488, 32491, 32500
- 32999, 96570, 96571
2.0 DESCRIPTION
The respiratory system is comprised of the
tubular and cavernous organs and structures by means of which pulmonary
ventilation and gas exchange between ambient air and the blood are brought
about.
3.0 POLICY
3.1 Services
and supplies required in the diagnosis and treatment of illness
or injury involving the respiratory system are covered.
3.2 Resection
of pneumatoceles is a covered procedure.
3.3 Lung Volume Reduction Surgery
(LVRS) is a covered procedure, see
Section 8.2.
3.4 Endoscopic
thoracic sympathectomy (Current Procedural Terminology (CPT) procedure
code 32664) is covered for treatment of severe primary hyperhidrosis
when appropriate nonsurgical therapies have failed and the hyperhidrosis
results in significant functional impairment.
4.0 Exclusions
4.1 Pillar
palatal implant system for the treatment of Obstructive Sleep Apnea
(OSA) is unproven.
4.2 Uvulopalatopharyngoplasty
(UPPP) (CPT procedure code 42145) for the treatment of Upper Airway
Resistance Syndrome (UARS) is unproven).
4.3 Nitric oxide expired gas determination
(CPT procedure code 95012) for asthma is unproven.
4.4 Bronchial
Thermoplasty (BT) (CPT procedure codes 31660 and 31661)
for the treatment of asthma is unproven.
4.5 Radiofrequency Ablation (RFA)
of the tongue base to treat Obstructive Sleep Apnea (OSA) is unproven.
4.6 Hypoglossal Nerve Stimulation (HGNS) for the
treatment of OSA is unproven.
5.0 Effective
Date
December 1, 2006, for endoscopic thoracic
sympathectomy for severe primary hyperhidrosis.
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