Medically Reviewed by Dr. Igor I. Bussel, MD
Board-Certified Physician | UCI Gavin Herbert Eye Institute | Last Updated: January 2026
Surgical procedure to advance the genioglossus muscle attachment, pulling the tongue forward to prevent airway collapse.
Board-Certified Physician | UCI Gavin Herbert Eye Institute | Last Updated: January 2026
Genioglossus advancement (GA) is a surgical procedure that repositions the main tongue muscle to prevent it from collapsing backward during sleep. The surgery involves cutting a small window in the chin bone (mandible) where the genioglossus muscle attaches, advancing it forward, and securing it in its new position. This pulls the tongue base forward and helps keep the airway open. GA is typically performed as part of multi-level surgery for sleep apnea, often combined with UPPP or other procedures targeting different levels of obstruction.
The cost of GA surgery ranges from $8,000 to $20,000, with an average cost of approximately $12,000. These costs can vary significantly based on:
Best for: Tongue base obstruction, often combined with other procedures
GA is typically covered by insurance when deemed medically necessary for obstructive sleep apnea treatment. Most major insurance companies, including Medicare, cover this procedure when patients meet specific criteria.
CPT Code(s): 21199
Compare 45+ verified sleep surgery specialists across the United States. All providers are experienced in GA and other sleep apnea surgical treatments.
Without insurance, GA typically costs between $8,000 and $20,000, depending on the provider, location, and complexity of the case. Many providers offer payment plans or financing options.
Yes, GA is typically covered by insurance when deemed medically necessary for obstructive sleep apnea. Most patients need to have tried CPAP therapy first. Check with your insurance provider for specific coverage details.
GA has a success rate of 39-65% in reducing sleep apnea severity. The procedure can reduce AHI (apnea-hypopnea index) by 30-50% on average.
Full recovery from GA typically takes 2-3 weeks. Most patients can return to work in 1-2 weeks. Hospital stay is usually 1 day.