Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea
National · Effective Jan 1, 2024
2 active Medicare policies list A4604, and 7 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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National · Effective Jan 1, 2024
National · Effective Jun 9, 2025
7 policies from 6 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of A4604 |
|---|---|---|
| Sleep Disorder Management | Not recorded | Covered |
| Sleep Disorder Management | Not recorded | Covered |
| Policy | Effective | Status of A4604 |
|---|---|---|
| Medical Management of Sleep Related Breathing Disorders | May 15, 2026 | Covered |
| Policy | Effective | Status of A4604 |
|---|
| Medical Management of Sleep Related Breathing Disorders | May 15, 2026 | Covered |
|---|
| Policy | Effective | Status of A4604 |
|---|---|---|
| Medical Management of Sleep Related Breathing Disorders | May 15, 2026 | Covered |
| Policy | Effective | Status of A4604 |
|---|---|---|
| Medical Management of Sleep Related Breathing Disorders | May 15, 2026 | Covered |
| Policy | Effective | Status of A4604 |
|---|---|---|
| Cigna Medicare Advantage Durable Medical Equipment Code List - Effective 01/01/2025 | Jan 1, 2025 | Prior auth required |