LCD ID Number: L34526 Status: A-Approved
LCD Title: Surgical Treatment of Obstructive Sleep Apnea (OSA)
Geographic Jurisdiction: Iowa Other Jurisdictions
Original Determination Effective Date:
Original Determination Ending Date:
Revision Effective Date:
Revision End Date:
CMS National Coverage Policy:
CMS Pub. 100-02 Medicare Benefit Policy Manual Chapter 15 §70- Sleep Disorder Clinics;
Chapter 16 §140 Dental Services Exclusion
CMS Pub. 100-03 Medicare National Coverage Determinations Manual Chapter 1, Part 4 §240.4 Continuous Positive Airway Pressure (CPAP) Therapy for Obstructive Sleep Apnea (OSA)
Social Security Act 1862 (a)(1)(A) Medically Reasonable & Necessary.
Social Security Act 1862 (a)(1)(D) Investigational or Experimental.
CMS Transmittal No, 857, effective date October 3, 2018 Change Request 10901 Local Coverage Determinations (LCDs) Implementation date January 8, 2019.
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