Following the release of the CMS home testing National Coverage Determination, numerous local carriers and private insurers have been formulating home sleep testing policy. These policies have been released in final form and draft form and have varied in their interpretation and implementation guidelines.
To help clear the confusion, below is a list of home sleep testing policies that have been recently released. Key information from each entity has been extracted from their policy and can be viewed by clicking on the local carrier and/or private insurer below.
For complete information, each policy should be viewed in full. Policies and local coverage determinations (LCDs) that do not contain information about the new G-codes are likely not finalized. These and other LCDs and policies are subject to change and further review. Those impacted by these policies should check with local carriers and private insurers for updates.
• Highmark
• Trailblazer
• Empire
• Pinnacle (draft policy)
• Oxford
• Blue Cross of Idaho
• Humana
• Excellus
• Aetna