The Centers for Medicare & Medicaid Services (CMS) has approved adding capnography to the practice expense for pediatric polysomnography codes 95782 and 95783 starting in 2015. The proposal is a direct result of two years of advocacy by the AASM. This proposal is outlined in the 2015 Medicare Physician Fee Schedule Proposed Rule.
After the addition of pediatric polysomnography codes to the Medicare fee schedule in 2013, the AASM identified that CMS had neglected to include capnography in the practice expense calculation for the two new codes. The AASM immediately began advocating for CMS to recognize capnography as an integral part of the pediatric polysomnography services. In 2015, providers will also notice a 1 percent increase in payment for polysomnography (codes 95810 and 95811).