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pressure plateau
#51
RE: pressure plateau
Not necessary. I had a certain test or some procedure that was needed for some reason. It was denied as the medical entity billing office labeled the procedure visit as my first visit. As there was a consult a short time prior to the actual procedure was to take place, it was not the first visit. I think on the docs office part, it was a mischecked box. I called insurance customer service to find out what was wrong. She said about the mix-up then placed me on a 2 min hold. The CS agent called to docs office to tell them to resubmit with the corrected info. Approved in an hour.

Best wishes you get your own success story soon. Coffee
Dave

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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#52
RE: pressure plateau
I'll see what they say at the Dr's office tomorrow. I believe they did their part..... but I'm no trusting the Insurance company.

I am so glad I came to this site when I did. 2-3 months would have turned into or 6 or 7 months.
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#53
RE: pressure plateau
Dr is ordering a Titration sleep study.... he had to put me on an APAP to prove it didn't manage CA's.....

Now they have no reason to deny the titraiton sleep study.

Thanks again guys !

Fred.. for what's it's worth... could you please tell Pugsy I had a bad night.. and that I appreciate all she did. Especially introducing me to OSCAR. If It was for her...and some others I wouldn't be where I'm at.
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#54
RE: pressure plateau
Ask your doctor if he can include ASV in the titration study.
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#55
RE: pressure plateau
I told him if I can get a Res Med ASV he said sure I can do that.... but I'll call back and run that by him.
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#56
RE: pressure plateau
As long as your titration study order specifies that titration should be multi-modal to evaluate bilevel and ASV than that should work.  It would help if your doctor changed your diagnosis to be idiopathic central sleep apnea.  
Quote:   G47.31 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
   The 2020 edition of ICD-10-CM G47.31 became effective on October 1, 2019.
   This is the American ICD-10-CM version of G47.31 - other international versions of ICD-10 G47.31 may differ.

Applicable To

   Idiopathic central sleep apnea


The following code(s) above G47.31 contain annotation back-references
that may be applicable to G47.31:

   G00-G99
   Diseases of the nervous system
   G47
   Sleep disorders
   G47.3
   Sleep apnea
 https://www.icd10data.com/ICD10CM/Codes/...47-/G47.31
Sleeprider
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#57
RE: pressure plateau
Damn, Sleeprider.. you basically read my mind before I had a chance to ask it.... LOL LOL

Ok, when they call back I'll ask...
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#58
RE: pressure plateau
I told the Dr. Res med ASV... lest out the auto..

I just read the write up on it at Res med....

ASVAuto mode
ASVAuto mode can help streamline titration protocols by offering automatically adjusting Pressure Support and EPAP. ASVAuto mode will stabilize ventilation using Pressure Support to keep patients at their target minute ventilation. It will also automatically stabilize the upper airway with an increase in EPAP on the next breath following an event to treat and help prevent obstructions.

Can some one simplify this explanation..

I see EPAP is exhale.... but the pressure support for minute ventilation I'm not quite understanding.

and stabilize upper airway with increase EPAP on next breath (exhale?) following an event to treat and help OA?
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#59
RE: pressure plateau
Attempt at a simple explanation: the ASV constantly adapts the pressure to intervene before an event happens.
Caveats: I'm just a patient, with no medical training.
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#60
RE: pressure plateau
(05-15-2020, 12:53 PM)slowriter Wrote: Attempt at a simple explanation: the ASV constantly adapts the pressure to intervene before an event happens.

In that case why be concerned about blood/oxygen concentration..... if CA's will be prevented?
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