Procedure Code For Sleep Apnea Appliance

By | March 31, 2017

Natural Treatments for Sleep Apnea

Hey, guys. Axe, here, of naturalmedicine and founder of DrAxe . In this tutorial, I'm going to go through a sevenstepprocess on how to overcome sleep apnea. If you struggle with sleep apnea, snoring, insomnia,just trouble sleeping at night, these tips are going to help you big time. The number one thing you've got to start doingif you want to overcome sleep apnea is look at your diet. Now, sometimes sleep apnea canbe related to weight gain. It can be related to inflammation in different areas of yourbody. But if you can follow these dietary tips, it's going to help tremendously.

The first thing you want to do is you reallywant to focus on supporting your metabolism. You want to focus on getting three thingsevery single meal: good quality protein, healthy fat, and fiber, those three things. Most peoplewith sleep apnea, most people tend to consume too many carbohydrates and too much sugar,which can actually affect your insulin levels and your metabolism, which causes sleep apnea.So again, healthy protein, such as bone broth protein, organic chicken and turkey, wildcaughtfish, grassfed beef, getting good quality protein is important. Number two, fiber, getting more vegetablesand fruits in your diet and wholesprouted

grains, such as brown rice, that's where youwant to get your fiber. The healthy fats, things like coconut oil, olive oil, organicnuts and seeds, those are some ways to get some good healthy fat in your diet. So again,focus on a healthy diet, a diet that's antiinflammatory and that helps balance out insulin levelsis going to be big when it comes to beating sleep apnea. Number two, there are certain things you wantto avoid. If you have sleep apnea, you want to avoid intake of alcohol, caffeine, smoking,and also you need to be aware of sedatives. If you're taking sedatives on a regular basis,that can really cause sleep apnea. Stay away

from those things. If you're saying to yourself,quot;Well, I'm still going to do caffeine and alcohol,quot; then what I would do is not do coffee.I would just do a little bit of tea, like a green tea during the day. So again, just tone it down some. The otherthing I would do is, if you're drinking alcohol, limit it to one glass. When you start doingmore than one glass, more than one beer, more than one glass of alcohol, that's really goingto affect your sleep cycle. And no more than two days a week. Again, bring the alcoholdown, because that will absolutely cause sleep apnea.

The number three tip is to treat acid reflux.Many people with sleep apnea have heartburn, GERD, or acid reflux, or some type of digestiveissue that's causing their sleep apnea. Now, the way to overcome that is to follow thesedietary tips. You want to eat smaller meals, so you don't want to overeat, and get moreorganic meat, vegetables, and fruits. You've got to be careful overconsuming thegrains, the pastas, the breads, the chips. All of those things will really cause acidreflux and sleep apnea. Also, supplementing with digestive enzymes, probiotics, and applecider vinegar. So probiotics, enzymes, and apple cider vinegar, all of those can helpin the natural treatment of acid reflux and

reduce sleep apnea. The number four thing you want to considerdoing to beat sleep apnea is getting a humidifier in your bedroom. Oftentimes, it's the humidityor being too dry in the bedroom that actually causes sleep apnea. So look into getting ahumidifier and sometimes an air purifier. So a humidifier, an air purifier, those thingscan actually help support your body and you breathing better and overcoming sleep apnea. Number five is your sleeping position. Manypeople with sleep apnea sleep on their back. Some of them sleep on their stomach. You wantto sleep on your side. What you want to do

HCPCS and CPT Codes FAQs Disc Herniation vs Disc Degeneration

Q 16: Will there be at anytime HCPCS andCPT codes togetheré A: Well, yes. I guess so. The only time youreally use HCPCS codes is if you are doing Medicare. They're the other ones that reallylike the HCPCS codes. CPT codes, well, yes they will because EM codes are CPT codes.So, right there you're going to have CPT and HCPCS codes together. HCPCS codes mightbe, if they're giving an injection for Medicare patient in the office, then you would usea HCPCS code. Q 17: Please clarify with disc herniationand disc degenerationé A: OK, well I can do that because that'slike an ICD9 thing. Herniation of a disc

is when it bulges. So, you've got your littlediscs. Think of it as little block squares set up on top of each other with a hole inthose squares, and in those squares… So, think of this as your vertebra, and thinkof this little pearl right here as your spinal cord. So, that's stacked up. A bunch ofthose are stacked up on top of each other. Now, around that is this meaty tissue andfluid to make sure that nothing hurts that spinal cord because it doesn't regenerateitself. So, you've got these little guys stacked up on top of each other. If you havea herniation that's when some of this goo in here pops out, OKé Think of a little balloonof goo sticking out, it's a hernia. Just

like if you have inguinal hernia or a herniain your intestines. Now, a disc degeneration is when this littleguy right here, he's falling apart. So, this starts degenerating. It starts breakingdown. It's not solid anymore. It's getting porousand they can't do the job and it's getting weak. So, they'll stack on top of each other– two completely different things. Herniation you got a bulge right there, anddegeneration this is wearing out. Can you have bothé Absolutely, but they are two distinctthings. Q 18: What is the difference between LefortI, II, III from each procedureé Also, is Botox

injection part of the procedureé What is CPTcode for the Botox injectioné A: I don't know. Sorry. First of all betweenLefort I, II, III, I just don't even know what that is without looking it up, and Iapologize that after I said I was so intelligent andawesome that I don't know that; but this is a perfect QA forum question. So, if youwill post this in there I will make sure that it gets answered because now I want to knowwhat Lefort I, II, III, is, and what is the CPT code for a Botox injectioné Again, I'msure it has a specific injection code and we'll find it for you.

Medical Coding Basics Cardiology Part 2

I grabbed another one, and again it is herefor a sixmonth check. These are routine, very common cases where a person has a cardiacproblem. Again, I'm going to go ahead and slide down to the bottom. I always like towork from the bottom up. I see that our patient has sleep apnea, hypertension and hypercholesterolemia. Then, he not only listed what the diagnosiswas, but actually tells you what he's doing about it or the status of it. Sleep apnea,using oral device as prescribed; so he's probably got a sleep apnea machine that hesleeps with. Hypertension, well controlled on above medication. Now, even though it saysit's well controlled, he has to take a medication

or he would have hypertension; so that isdefinitely codable. Then, same thing with his cholesterol, it's adequately controlledon above medication. The plan is, everything is going to continue and he wants to do anecho and office visit in six months. I'm going to slide back up to the top andI'm going to start looking at our problem list, again you don't code off of a problemlist because it can be copied and pasted. Again, you want to follow your office or yourcompany's guidelines about things like that problem list. Here we've got a person with afib, but nowhe's made a point to say “none since 20XX.�

That tells me that I'm not going to codethat, either saying “No, he does not have it.�It's not that they're taking medicationis the reason why they don't have it. He's saying that there's not been any reported.Hypertension, hyperlipidemia and sleep apnea and that they're using that oral device,the machine. Then, I'm going to go down to look at thesemedications, Cardizem… I know what all of these are, but I went ahead and wrote downwhat some of these are because if you are not familiar, you need to be familiar withthe medications. You can go to drugs , webmd , there's all kinds, just Googleit, it will tell you.

I'm going to go to this history, the thingsthat jumped out at me, one, the palpitations he didn't address it. In other words, thepalpitations aren't something that we're going to worry about. He is using his oraldevice as prescribed. That constitutes the sleep apnea. They did a lab for the cholesteroland the triglycerides. Now we know he's actively being treated. Again, they checkedthe blood pressure. Over here, look, nothing is wrong here with the cardiovascular, scannedall of these, nothing jumps out at you. And you need to know these terms, “BS x4quads� you need to know what they mean. “No carotid bruits,� they're talkingabout the carotid arteries. The “neck veins

are flat� meaning they're not bulgingout that would indicate an issue with your blood pressure. “No murmurs, clicks, orgallops� if you don't know what a murmur, a click, and a gallop sounds like, you canactually go to YouTube and you can hear them. It's really cool, different types of breathingtoo. So, we're limited to – because I alwayswant to code things sleep apnea, hypertension, and the hypercholesterolemia. This persongot a 99214 as well. The pure hypercholesterolemia is 272.0, the 401.9 for the hypertension,and sleep apnea is 780.57. Those are very, very common codes especially the first two.You probably have them memorized even though

you're not supposed to memorize codes, youreally can't help it when you do them over and over. What about those medicationsé Cardizem isused for hypertension. Metoprolol is Lopressor and you may see that advertised on TV, a bloodpressure medication, beta blocker. What about this one,that it's like, “Huh! I don'tknow what that medication was.â€� It's actually Tambocor and it's for an irregular heartbeatrhythm, and Pravastatin is for cholesterol. Again, those are the things that you needto be aware of when you're doing cardiology. You need to know medications pretty well.Don't worry if you don't know them very

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