Documentation overview
Documentation categories to review
These categories summarize the approved criteria bundle. The note checker uses the selected state, clinical pathway and procedure details to apply the relevant criteria.
Core documentation
- Age 22 or older
- Body mass index below 35 kg/m²
- Qualifying polysomnography within 24 months
- CPAP failure or intolerance
- Drug-induced sleep endoscopy showing no complete concentric collapse at the soft palate
- Anatomical assessment
- MRI counseling
- Absence of listed contraindications