11 commercial payer policies list E0490. 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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11 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 E0490 |
|---|---|---|
| Sleep Disorder Management | Sep 19, 2026 | Covered |
| Sleep Disorder Management | Nov 15, 2025 | Covered |
| Policy | Effective | Status of E0490 |
|---|---|---|
| Obstructive Sleep Apnea in Adults | Mar 13, 2024 | Covered |
| Policy | Effective | Status of E0490 |
|---|
| Medical Management of Sleep Related Breathing Disorders | May 15, 2026 | Covered |
|---|
| Policy | Effective | Status of E0490 |
|---|---|---|
| Medical Management of Sleep Related Breathing Disorders | May 15, 2026 | Covered |
| Policy | Effective | Status of E0490 |
|---|---|---|
| Medical Management of Sleep Related Breathing Disorders | May 15, 2026 | Covered |
| Policy | Effective | Status of E0490 |
|---|---|---|
| Medical Management of Sleep Related Breathing Disorders | May 15, 2026 | Covered |
| Policy | Effective | Status of E0490 |
|---|---|---|
| Functional Electrical Stimulators (Non-Pain) | Aug 3, 2026 | Covered |
| Policy | Effective | Status of E0490 |
|---|---|---|
| Obstructive and Central Sleep Apnea Treatment – Surest Medical Policy | Oct 1, 2026 | Covered |
| Policy | Effective | Status of E0490 |
|---|---|---|
| Obstructive and Central Sleep Apnea Treatment | Oct 1, 2026 | Covered |
| Policy | Effective | Status of E0490 |
|---|---|---|
| Obstructive and Central Sleep Apnea Treatment | Oct 1, 2026 | Covered |