Anthem Blue Cross Connecticut DME.00042 Electronic Positional Devices for the Treatment of Obstructive Sleep Apnea Form

Effective Date

12/28/2023

Last Reviewed

05/11/2023

Original Document

  Reference



This document addresses electronic devices used in the treatment of positional obstructive sleep apnea (POSA). Positional therapy prevents individuals from sleeping in the supine position and can decrease or eliminate obstructive events in POSA. A new generation of electronic positional therapy devices have been suggested as an alternative to the current treatments. At least two devices are currently available on the market, including the NightBalance Lunoa system (Philips; Cambridge, MA) or Night Shift (Advanced Brain Monitoring, Carlsbad, CA).

Position Statement

Investigational and Not Medically Necessary:

Electronic positional therapy devices are considered investigational and not medically necessary in the treatment of obstructive sleep apnea.