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