Obstructive Sleep Apnea and Other Sleep Related Breathing Disorders Surgical Treatments - Medicare Advantage
HUMANA-OBSTRUCTIVE-SLEEP-APNEA-AND-OTHER-SLEEP-RELATED-BREATHING-DISORDERS-SURGICAL-TREATMENTS-MA
This policy addresses surgical treatments for obstructive sleep apnea (OSA) and other sleep‑related breathing disorders, including procedures such as hypoglossal/upper airway stimulation (e.g., Inspire), palatal implant insertion (C9727), radiofrequency ablation, suspension/airlift procedures, and orthognathic surgery. Coverage applies to patients with OSA and related disorders (adults and children as referenced), but specific eligibility, patient‑selection criteria (age, BMI, prior therapy, frequency limits) and coverage determinations are set by the cited CMS Local Coverage Determinations and guidance; note C9727 specifies a minimum of three implants and some interventions (e.g., AirLift, standalone uvulectomy) have limited or insufficient evidence.
"Surgical treatments for obstructive sleep apnea and other sleep-related breathing disorders. (Inferred from policy title; no explicit covered indications are stated in the provided excerpt."