Traditional MedicareCoverageMedium impact
Hypoglossal Nerve Stimulation for Obstructive Sleep Apnea
Medicare/CMS - LCD·Sleep Medicine, ENT (Ear, Nose & Throat), Pulmonology·Local Coverage Determination
Effective date
May 14, 2026
We identified it
Jun 17, 2026
Summary
This is a Local Coverage Determination for Hypoglossal Nerve Stimulation to treat Obstructive Sleep Apnea, managed by Palmetto GBA for Medicare Part A and Part B coverage. The policy establishes coverage criteria and billing guidelines for this sleep disorder treatment procedure.
Action Required
By May 14, 2026: Billing team must review the full LCD policy L38276 to understand coverage criteria, documentation requirements, and billing guidelines for hypoglossal nerve stimulation procedures. Ensure providers understand medical necessity requirements and update encounter forms if practice treats sleep apnea patients. Verify patient eligibility and coverage criteria before scheduling procedures.