Category III Codes
J5 · Effective Oct 1, 2015
11 active Medicare policies list C8007, and 8 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.
Free account. Policy pages stay open to everyone.
J5 · Effective Oct 1, 2015
J8 · Effective Oct 1, 2015
JJ · Effective Jun 21, 2020
JM · Effective Jun 21, 2020
JE · Effective Mar 15, 2020
JF · Effective Mar 15, 2020
J5 · Effective Jun 14, 2020
J8 · Effective Jun 14, 2020
National · Effective Oct 1, 2026
8 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 C8007 |
|---|---|---|
| Sleep Disorder Management | Sep 19, 2026 | Covered |
| Sleep Disorder Management [for Wellpoint Massachusetts] | Nov 15, 2025 | Covered |
| Policy | Effective | Status of C8007 |
|---|---|---|
| Cigna Commercial Sleep Management Code List | Mar 7, 2026 | Prior auth required |
| Cigna Comprehensive Code List |
National · Effective Oct 1, 2026
J5 · Effective Oct 1, 2026
| Mar 7, 2026 |
| Prior auth required |
| Policy | Effective | Status of C8007 |
|---|---|---|
| Sleep Related Breathing Disorders: Surgical Management | Jan 1, 2026 | Covered |
| Policy | Effective | Status of C8007 |
|---|---|---|
| Sleep Related Breathing Disorders: Surgical Management | Jan 1, 2026 | Covered |
| Policy | Effective | Status of C8007 |
|---|---|---|
| Sleep Related Breathing Disorders: Surgical Management | Jan 1, 2026 | Covered |
| Policy | Effective | Status of C8007 |
|---|---|---|
| Sleep Related Breathing Disorders: Surgical Management | Jan 1, 2026 | Covered |