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Certain patients with obstructive sleep apnea who are deemed eligible candidates may be offered the hypoglossal nerve stimulator as an alternative. FDA-approved hypoglossal nerve neurostimulation is considered medically reasonable and necessary for the treatment of moderate to severe obstructive sleep apnea when all of the following criteria are met: [4]
Medicare may cover Inspire, a device to treat sleep apnea, if it is medically necessary. A doctor needs to demonstrate that people meet certain criteria and CPAP therapy has been ineffective.
Obstructive sleep apnea or sleep apnea is defined as either cessation of breathing (apnea) for 10 seconds, or a decrease in normal breathing (hypopnea) with an associated desaturation in oxygen and arousal during sleep that lasts at least 10 seconds. In adults, it is typical to have up to 4.9 events per hour.
The out-of-pocket cost for the Inspire sleep apnea implant may be: $1,796 at a hospital outpatient surgical center. $5,133 at a non-hospital surgical center.
Positive airway pressure (PAP) is a mode of respiratory ventilation used in the treatment of sleep apnea.PAP ventilation is also commonly used for those who are critically ill in hospital with respiratory failure, in newborn infants (), and for the prevention and treatment of atelectasis in patients with difficulty taking deep breaths.
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