What code should be used for Palatal Laser procedure (i.e. Nightlase)?

We have not seen insurers reimburse for palatal procedures for diagnosis of snoring. When it comes to the diagnosis of OSA, many insurers still consider this newer procedure experimental and investigational. We are hoping to see this change in the future when we continue to bill for these services. Currently, there is not a specific CPT code for procedures for Nightlase, so providers we have worked with have billed it under:

42299 - Unlisted procedure, palate, uvula

When using 42299 for Laser Assisted Uvulopalatoplasty (LAUP), make sure the narrative report specifies LAUP for the use of the code. 

For a procedure like Nightlase, using the surgical code 42145 (Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvulopharyngoplasty) would not apply as this code is a surgical code. 

If the procedure involves a cutting type of laser where tissue removal is accomplished, CPT code 41245 with the 52 modifier may be a good coding option. 

Additionally, the following laser codes are available. (When possible, it is advisable to employ a code tailored for the particular procedure being done.)

S8948 - Application of a modality (requiring constant provider attendance) to one or more areas; low-level laser; each 15 minutes

0552T - Low-level laser therapy, dynamic photonic and dynamic thermokinetic energies, provided by a physician or other qualified health care professional.