Two MACs remove CPT code 64568 for HGNS, says Piper Sandler

Two Medicare Administrative Contractors, Noridian and CGS, have removed the use of CPT code 64568 from their billing/coding page for Hypoglossal Nerve Stimulations, which surprises Piper Sandler analyst Adam Maeder, the analyst tells investors in a research note. The firm notes that Inspire Medical (INSP) “carefully coordinated” a transition to CPT code 64568 with its Gen 5 device and is optimistic that the policies will get amended with the CPT code reinstated. Piper Sandler has an Overweight rating and $165 price target on Inspire Medical shares.