Medical Policy & Coverage

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LCD L33800ActiveRevised 2024-08-12

Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea

Indications

• Face-to-face evaluation by treating practitioner prior to sleep test. • Sleep test meeting Medicare criteria (AHI/RDI ≥ 5 with symptoms, or ≥ 15). • Education on proper PAP use provided.

Continued coverage

Beneficiary must be re-evaluated 31–91 days after initiation. Documentation must show adherence (≥ 4 hours per night on 70% of nights over 30 consecutive days) and clinical benefit.

Covered codes

E0601 · E0470 · E0471 · A7030 · A7031 · A7032 · A7033 · A7034 · A7035 · A7036 · A7037 · A7038 · A7039 · A7046

AI interpretation

This policy is fully encoded. When a PA request is submitted for E0601, our model checks all 14 covered criteria, flags missing documentation, and drafts language citing the specific clause triggered.

Coverage

Comprehensive, versioned, auditable.

Every payer, every policy

LCDs, NCDs, commercial medical policy, state Medicaid guidelines. 50+ payers and growing.

Full version history

Retroactive review stays accurate. Our models always use the policy version in effect on the service date.

Cited decisions

Every AI decision points to the exact policy clause. No black-box interpretations.

Cross-payer mapping

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Policy infrastructure

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Apply it.