Billing and Coding: Hypoglossal Nerve Stimulation for Treatment of Obstructive Sleep Apnea

Coverage of hypoglossal nerve stimulation (HNS) for obstructive sleep apnea is determined by the reasonable and necessary clinical criteria in LCD L38307; this billing policy provides coding and documentation guidance but defers clinical indications to the LCD. Effective 2022-01-01 use CPT 64582 for implantation and CPT 64583/64584 for revision/removal; follow NCCI edits and maintain complete, signed, legible medical records that support the billed diagnosis codes.

"Hypoglossal nerve stimulation (HNS) for treatment of obstructive sleep apnea (OSA) is covered only when it meets the reasonable and necessary clinical criteria specified in Local Coverage Determina..."

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