Medicare Clinical Coverage Guidelines for CPAP

Effective for services on April 1, 2002
Initial coverage for the use of CPAP devices are covered under Medicare when ordered and prescribed by the licensed treating physician to be used in adult patients with OSA if either of the following criteria using the Apnea-Hypopnea Index (AHI) are met:

The AHI must be calculated based on a minimum of two hours of sleep recorded by polysomnography using actual recorded hours of sleep (i.e., the AHI may not be extrapolated or projected).

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