Hypoglossal Nerve Stimulation for the Treatment of Obstructive Sleep Apnea
J5 · Effective Jun 14, 2020
20 active Medicare policies list 95805, and 20 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
JH · Effective Oct 1, 2015
JL · Effective Oct 1, 2015
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
20 policies from 13 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of 95805 |
|---|---|---|
| Aetna Sleep CPT List | Jan 1, 2025 | Prior auth required |
| Multiple Sleep Latency Test (MSLT) and Maintenance of Wakefulness Test (MWT) | May 2, 2023 | Covered |
| Policy | Effective | Status of 95805 |
|---|---|---|
| Diagnosis of Obstructive Sleep Apnea Syndrome | Oct 1, 2026 | Covered |
| Polysomnography for Non-Respiratory Sleep Disorders | Jan 1, 2026 | Covered |
J5 · Effective Feb 16, 2017
J8 · Effective Feb 16, 2017
J9 · Effective Oct 1, 2015
National · Effective Aug 6, 2026
JL · Effective Jan 1, 2023
National · Effective Mar 7, 2024
J5 · Effective Jun 26, 2025
National · Effective Mar 5, 2026
National · Effective Sep 11, 2025
J9 · Effective May 16, 2024
J6 · Effective Apr 1, 2026
| Policy | Effective | Status of 95805 |
|---|---|---|
| Diagnosis of Obstructive Sleep Apnea Syndrome | Oct 1, 2026 | Covered |
| Polysomnography for Non-Respiratory Sleep Disorders | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 95805 |
|---|---|---|
| Diagnosis of Obstructive Sleep Apnea Syndrome | Oct 1, 2026 | Covered |
| Polysomnography for Non-Respiratory Sleep Disorders | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 95805 |
|---|---|---|
| Diagnosis of Obstructive Sleep Apnea Syndrome | Oct 1, 2026 | Covered |
| Polysomnography for Non-Respiratory Sleep Disorders | Jan 1, 2026 | Covered |
| Policy | Effective | Status of 95805 |
|---|---|---|
| Sleep Disorder Management | Sep 19, 2026 | Covered |
| Sleep Disorder Management [for Wellpoint Massachusetts] | Nov 15, 2025 | Covered |
| Policy | Effective | Status of 95805 |
|---|---|---|
| Cigna Commercial Sleep Management Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List | Mar 7, 2026 | Prior auth required |
| Policy | Effective | Status of 95805 |
|---|---|---|
| Multiple Sleep Latency Testing | Not recorded | Covered |
| Policy | Effective | Status of 95805 |
|---|---|---|
| Health Alliance Plan Sleep CPT Code List | Aug 1, 2026 | Prior auth required |
| Policy | Effective | Status of 95805 |
|---|---|---|
| Sleep Studies | Jul 1, 2026 | Covered |
| Policy | Effective | Status of 95805 |
|---|---|---|
| The Health Plan Sleep CPT Code List | Jan 1, 2026 | Prior auth required |
| Policy | Effective | Status of 95805 |
|---|---|---|
| Sleep Studies | Jul 1, 2026 | Covered |
| Policy | Effective | Status of 95805 |
|---|---|---|
| Sleep Studies | Jul 1, 2026 | Covered |