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L Yes Adenotonsillectomy is contraindicated OR. l Yes If yes date If yes apnea index results Is member needing CPAP for treatment of obstructive sleep apnea syndrome OSAS for any of these conditions Treatment of tracheomalacia. L Yes l No Has the member completed a nocturnal polysomnography NPSG. l Yes Was the apnea index greater than 1 on a nocturnal polysomnography NPSG. L Yes 831-00057-24 02/14 2014 Security Health Plan of Wisconsin Inc. Expires 1/2015 Will the member need any oral...
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