J Korean Med Assoc.  2020 Jul;63(7):410-419. 10.5124/jkma.2020.63.7.410.

Clinical assessment for obstructive sleep apnea and national health insurance criteria for polysomnography

• Kim JK
• Kim HJ

• KMID: 2504712
• DOI: http://doi.org/10.5124/jkma.2020.63.7.410

Abstract

Sleep apnea is a sleep disorder that includes symptoms such as snoring and apnea during sleep and daytime drowsiness. This disorder reduces a person’s quality of life and can also cause serious problems that interfere with one’s social life. Both non-surgical, such as positive pressure treatment, and surgical treatments can be performed to improve sleep apnea. Polysomnography is first needed to confirm the degree of sleep apnea before surgery and should be conducted in certified facilities according to strict regulations. While appropriate treatment for sleep apnea can be implemented based on polysomnography results, it is burdensome for patients to obtain a polysomnography examination because of the high cost. To increase the accessibility of polysomnography to patients, the government has implemented an insurance program for patients who meet certain criteria. Recently, these criteria have been revised. The purpose of this paper is to provide information on the latest health insurance criteria for polysomnography.

Keyword

Sleep apnea syndromes; Polysomnography; Health insurance; Certification; 수면무호흡증; 수면다원검사; 급여기준; 인증