Medicare has finalized and posted local coverage determination (LCD) policies on “Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea.” The American Academy of Sleep Medicine previously submitted feedback during the public comment periods put forth by all seven Medicare Administrative Contractors (MACs). Medicare reviewed these public comments before posting the final LCDs along with accompanying local coverage articles (LCAs).
View the finalized LCD and LCA for your jurisdiction by clicking the appropriate links below. The documents also are accessible on the Medicare Policies page of the AASM website. The AASM encourages members to subscribe to MAC communications to receive alerts and updates for your jurisdiction.
AASM members can send questions about Medicare policies to coding@aasm.org.
MAC |
LCD |
Local Coverage Article |
Novitas Solutions, Inc.
Jurisdictions H, L |
Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea L38385
Effective Date: March 15, 2020 |
Hypoglossal Nerve Stimulation for Treatment of Obstructive Sleep Apnea A56938
Effective Date: March 15, 2020 |
First Coast Service Options, Inc.
Jurisdiction N |
Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea L38398
Effective Date: March 15, 2020 |
Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea A56953
Effective Date: March 15, 2020 |
Noridian Healthcare Solutions, LLC
Jurisdiction E |
Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea L38310
Effective Date: March 15, 2020 |
Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea A57948
Effective Date: March 15, 2020 |
Noridian Healthcare Solutions, LLC
Jurisdiction F |
Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea L38312
Effective Date: March 15, 2020 |
Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea A57949
Effective Date: March 15, 2020 |
National Government Services
Jurisdictions 6, K |
Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea L38387
Effective Date: April 1, 2020 |
Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea A57092
Effective Date: April 1, 2020 |
CGS Administrators
Jursidiction 15 |
Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea L38307
Effective Date: April 1, 2020 |
Hypoglossal Nerve Stimulation for Treatment of Obstructive Sleep Apnea A57149
Effective Date: April 1, 2020 |
Wisconsin Physician Service Insurance Corporation
Jurisdictions 5, 8 |
Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea L38528
Effective Date: June 14, 2020 |
Hypoglossal Nerve Stimulation for Treatment of Obstructive Sleep Apnea A57944
Effective Date: June 14, 2020 |
Palmetto GBA
Jurisdictions J, M |
Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea L38276
Effective Date: June 21, 2020 |
Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea A58075
Effective Date: June 21, 2020 |