CMS establishes new Level II HCPCS codes to describe eXciteOSA, the first-ever daytime treatment for obstructive sleep apnea
Signifier Medical Technologies LLC, a Boston-based medical technology company, announced that the Centers for Medicare & Medicaid Services (CMS) established two new Level II Healthcare Common Procedure Coding System (HCPCS) codes to describe eXciteOSA, the first-ever FDA authorized de-novo device for daytime treatment of mild obstructive sleep apnea (OSA) and primary snoring. The CMS coding decision was published on February 16, 2022 and the following codes will become effective on April 1, 2022:
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โWe welcome CMSโ decision to establish two new codes to describe the eXciteOSAย deviceโ, said Akhil Tripathi, Chief Executive Officer at Signifier. โWith over 3,000 patients treated withย eXciteOSA, we have seen strong demand for our therapy. Establishing codes marks an important milestone for physicians, health systems, DME suppliers, payers and patients alike, and will enable Signifier to demonstrate further the real world benefits of improved outcomes, cost savings and significantly improved quality of care for patients. Reimbursement will help patients in the US who suffer from sleep disordered breathing with an option to obtain a new, effective daytime treatment.โ
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OSA is a progressive disease, often starting with primary snoring, affecting nearly 1 billion adults aged 30 to 69 globally.1ย Used for only 20 minutes per day during the initiation period, and then twice per week thereafter for maintenance, eXciteOSAย targets a primary root cause of mild OSA by delivering neuromuscular electric stimulation to increase tongue muscle endurance.
โHCPCS codes play a critical role in providing patients with access to new medical devices, often improving payment options and healthcare decisions,โ said Dr. Marc Benton, a New Jersey-based pulmonologist and sleep medicine specialist. โThe eXciteOSAย is a non-invasive, easy to use therapy that does not require patients to wear any sort of device during the night. Once reimbursement is established, eXciteOSAย will be easier to access for a broader and more diverse population of patients suffering from sleep apnea, and Iโm excited to share the good news with all of them.โ
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