Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea
J5 · Effective Jun 14, 2020
13 active Medicare policies list 95803, and 12 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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J5 · Effective Jun 14, 2020
J8 · Effective Jun 14, 2020
JJ · Effective Jun 13, 2016
JM · Effective Jun 13, 2016
J15 · Effective Mar 6, 2017
JE · Effective Jun 5, 2017
JF · Effective Jun 5, 2017
J5 · Effective Feb 16, 2017
J8 · Effective Feb 16, 2017
12 policies from 10 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 95803 |
|---|---|---|
| Actigraphy and Accelerometry | Oct 3, 2023 | Covered |
| Attention Deficit/Hyperactivity Disorder | Feb 16, 2024 | Covered |
| Policy | Effective | Status of 95803 |
|---|---|---|
| Attention Deficit Hyperactivity Disorder Assessment and Treatment | Not recorded | Covered |
| Facility-based Sleep Studies for Obstructive Sleep Apnea | Not recorded | Covered |
National · Effective Mar 7, 2024
J5 · Effective Jun 26, 2025
National · Effective Mar 5, 2026
National · Effective Sep 11, 2025
| Policy | Effective | Status of 95803 |
|---|---|---|
| Actigraphy | Oct 15, 2025 | Covered |
| Policy | Effective | Status of 95803 |
|---|---|---|
| Actigraphy | Oct 15, 2025 | Covered |
| Policy | Effective | Status of 95803 |
|---|---|---|
| Actigraphy | Oct 15, 2025 | Covered |
| Policy | Effective | Status of 95803 |
|---|---|---|
| Actigraphy | Oct 15, 2025 | Covered |
| Policy | Effective | Status of 95803 |
|---|---|---|
| Actigraphy | Feb 1, 2026 | Covered |
| Policy | Effective | Status of 95803 |
|---|---|---|
| Sleep Studies | Jul 1, 2026 | Covered |
| Policy | Effective | Status of 95803 |
|---|---|---|
| Sleep Studies | Jul 1, 2026 | Covered |
| Policy | Effective | Status of 95803 |
|---|---|---|
| Sleep Studies | Jul 1, 2026 | Covered |