Inspire Medical Systems provides resources to assist with coding, coverage, and reimbursement for Inspire therapy both pre-implant and post-implant.
Most sleep apnea patients who meet eligibility requirements for Inspire therapy have access to insurance coverage. The process to obtain prior authorization can be complex, and can be a barrier to patient access to therapy. Inspire is willing to collaborate with you to assist with this process to obtain prior authorization for Inspire therapy for suitable patients. Use this Prior Authorization Guide to assist you in determining if your patient meets criteria. If a patient falls outside the coverage criteria of their insurance, a team of insurance specialists at Inspire will assist in gaining approvals. For questions about the policy of a specific health plan, please email the Inspire Prior Authorization team at [email protected].
Download this guide to easily find background information on payer coverage for implantable devices, as well as all the codes you’ll need, from Diagnosis codes and CPT Procedure codes to Hospital Device codes and Hospital Inpatient codes.
Looking for background information on payer coverage, as well as Diagnosis codes, CPT Procedure codes and billing for Medicare and private payers? Download this guide.
In this guide, you will find background information on payer coverage for programming devices, as well as proper Diagnosis and CPT Procedure coding and billing for Medicare and private payers.
This guide contains the CPT code resources needed to describe remote monitoring of the Inspire UAS therapy. It includes the Category I CPT codes for reporting the initial patient set-up, monthly monitoring and additional monthly monitoring.