Does S2080 require prior authorization?

No, S2080 does not require prior authorization (medium confidence). Covered without prior authorization by at least one policy, though another does not cover it.

What is the Medicare reimbursement rate for S2080?

Medicare facility rate: N/A. Non-facility rate: N/A. Work RVU: 0.00.

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`S2080`, Laser-assisted uvulopalatoplasty (laup)

HCPCS/CPT

Prior Authorization

No Prior Auth Required

Covered without prior authorization by at least one policy, though another does not cover it (medium confidence)

Medicare Pricing

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

Documentation Required

The policy's definitions for obstructive apnea and hypopnea (duration, reduction criteria, and desaturation threshold) must be used when documenting sleep study results.
DISE findings (presence or absence of concentric/complete circumferential oropharyngeal collapse) are relevant to hypoglossal nerve stimulation eligibility; concentric collapse is an exclusion.

Key Coverage Criteria

Removable oral appliances are proven and medically necessary for treating obstructive sleep apnea (OSA) when a sleep study confirms diagnosis and prior evaluation has occurred.
Pulmonary hypertension;or
Documented ischemic heart disease;or
Impaired cognition or mood disorders;or
History of stroke;or
Hypertension;or

9 Active Policies

ANTHEM-SURG.00129, Oral, Pharyngeal and Maxillofacial Surgical Treatment for Obstructive Sleep Apnea or Snoring

ANTHEM-MED.00002, Selected Sleep Testing Services

UHC-POL-obstructive-sleep-apnea-treatment, Obstructive and Central Sleep Apnea Treatment

BCBSIL-SUR706.009, Sleep Related Breathing Disorders: Surgical Management

BCBSMT-SUR706.009, Sleep Related Breathing Disorders: Surgical Management

BCBSNM-SUR706.009, Sleep Related Breathing Disorders: Surgical Management

BCBSOK-SUR706.009, Sleep Related Breathing Disorders: Surgical Management

UMR-POL-UMR-obstructive-sleep-apnea-treatment, Obstructive and Central Sleep Apnea Treatment

SUREST-POL-SUREST-obstructive-sleep-apnea-treatment-sur, Obstructive and Central Sleep Apnea Treatment – Surest Medical Policy

`S2080`, Laser-assisted uvulopalatoplasty (laup)

Prior Authorization

Medicare Pricing

Documentation Required

Key Coverage Criteria

9 Active Policies

Related Codes

Have a follow-up question?

S2080, Laser-assisted uvulopalatoplasty (laup)

Prior Authorization

Medicare Pricing

Documentation Required

Key Coverage Criteria

9 Active Policies

Related Codes

Have a follow-up question?

`S2080`, Laser-assisted uvulopalatoplasty (laup)