American Academy of Sleep Medicine (AASM) members and sleep centers in Medicare Jurisdiction 15, which comprises Parts A/B for Kentucky and Ohio, should be aware of a new local coverage determination issued by CGS Administrators, LLC regarding coverage for Polysomnography and Other Sleep Studies (L36902).
Effective March 6, 2017, L36902 will apply new accreditation standards for providers and centers in determining coverage for sleep studies. L36902 replaces L34086, which was issued Oct. 1, 2015 and revised Oct. 1, 2016.
L36902 requires the sleep center or laboratory to be credentialed by either the AASM or another listed accreditor. The new LCD policy specifically defines a sleep center or laboratory as “any site or place of service other than patient’s home where sleep studies or recordings are performed.”
Should you have further questions about the new LCD, please contact Jay French, AASM Director of Health Policy, at 630-737-9700.