Inspire Medical Systems IncAMA CPT Editorial Panel approved new Category I CPT codes for the Inspire V system, standardizing reimbursement and signaling clinical acceptance.

Inspire Medical Systems announced in October 2026 that the AMA CPT Editorial Panel approved new Category I CPT codes specifically covering the Inspire V system, with the codes set to take effect on January 1, 2028 and to guide future Medicare payment determinations. The coding milestone signals growing clinical acceptance of Inspire's closed-loop implantable therapy for obstructive sleep apnea and sets the stage for more standardized reimbursement across payers. The approval ties directly into the proposed 2027 Medicare facility reimbursement rates for Inspire V, which point to higher payments for hospitals and ASCs alongside a modest cut to physician fees. Inspire Medical Systems' narrative projects $991.6 million in revenue and $74.2 million in earnings by 2029, requiring 3.3% yearly revenue growth and a $60.8 million earnings decrease from $135.0 million today, while some analysts assume revenue grows only about 1.8% annually and earnings fall toward roughly US$29.0 million. The company's biggest immediate risk remains that ongoing coding education and WISeR disruption keep weighing on revenue and margins longer than expected.
Inspire Medical Systems IncAMA CPT Editorial Panel approved new Category I CPT codes for the Inspire V system, standardizing reimbursement and signaling clinical acceptance.