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Response to Comments: Hypoglossal Nerve Stimulation for Treatment of Obstructive Sleep Apnea (DL38528).
A58119
Wisconsin Physicians Service Insurance Corporation (J05)
Effective: June 14, 2020
Updated: December 31, 2025
Policy Summary
This document (A58119) is a response-to-comments article summarizing feedback received on Draft LCD DL38528 regarding hypoglossal nerve stimulation for obstructive sleep apnea and does not contain standalone coverage criteria. For specific indications, limitations, documentation requirements, and frequency limits, reviewers should consult the referenced Draft LCD DL38528. Manual review of DL38528 is required to extract actionable policy criteria.
Coverage Criteria Preview
Key requirements from the full policy
"This article is a response to public comments for Draft LCD 'Hypoglossal Nerve Stimulation for Treatment of Obstructive Sleep Apnea (DL38528)' and does not itself state coverage criteria or procedu..."
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