HYPOGLOSSAL NERVE STIMULATION FOR TREATMENT OF OBSTRUCTIVE SLEEP APNEA
Billing and payment requirements for hypoglossal nerve stimulation (HGNS) to treat obstructive sleep apnea for Priority Health members, including applicable coding, documentation, modifier and place-of-service guidance that affects commercial, Medicare and Medicaid lines of business.
Service age threshold corrected to members 18 years of age and older (was previously stated as 22).
A 'Diagnosis Sequencing' section was added requiring reporting of BMI-related secondary diagnosis when billing for HGNS with OSA (G47.33).
Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.