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Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea

Medicare/CMS - LCD·Sleep Medicine, ENT (Ear, Nose & Throat), Neurology·Local Coverage Determination
Effective date
Mar 26, 2026
We identified it
Jun 17, 2026
Days to comply
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Summary

This is a Local Coverage Determination for hypoglossal nerve stimulation treatment of obstructive sleep apnea, effective March 26, 2026. The policy establishes coverage criteria and billing guidelines for this specialized sleep disorder treatment procedure.

Action Required

Action needed
By March 26, 2026: Review full LCD L38528 policy text to identify specific coverage criteria, prior authorization requirements, and billing codes for hypoglossal nerve stimulation procedures. Sleep medicine providers should update documentation templates to ensure compliance with new coverage determination requirements.

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