- Medical Director
- Posts: 135
- Joined: Wed Nov 11, 2015 3:07 pm
- City: Newark
- State or Province: NJ
- Country: USA
After performing polysomnography for respiratory muscle weakness, CPAP and O2 are often prescribed even though they are useless and the latter can be harmful. Often, bi-level PAP is prescribed at less than the full support settings needed to rest muscles during sleep so that breathing and energy can be better during the day.
Therefore, polysomnography is not warranted for people with respiratory muscle weakness. However, polysomnograms are well compensated financially whereas there are no insurance codes for reimbursing simple sleep oximetry and carbon dioxide monitoring, which is at times all that is usually needed.
Medical Director, VentilaMed BreatheNVS
Medical Director, Center for Ventilator Management Alternatives
Professor of Physical Medicine and Rehabilitation, Professor of Neurology, Rutgers New Jersey Medical School
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