LCD-L36902
Document details
Summary
The new LCD on polysomnography and other sleep studies may impact billing by clarifying the criteria for coverage, which could either improve claim approval rates or increase denials if not followed cPrepare for new billing guidelines on sleep studies!
Affected codes
ICD-10-CM
Affected specialty
Neurology alerts →Source document
https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=36902&ver=16CLV Intelligence summarizes publicly available federal publications. Not affiliated with or endorsed by any government agency.
Related alerts
4Policy FDA-BLA125360 · Neurology
Xeomin (incobotulinumtoxinA) is an injectable botulinum toxin type A administered via injection, placing it squarely in the Medicare Part B pathway for physician-administered drugs. It is reimbursed u
View alertPolicy FDA-BLA761149 · Neurology
Enspryng (Satralizumab) is an injectable drug approved for Part B billing, likely leading to a new J-code assignment. With its status as an orphan drug, it may qualify for pass-through payment under M
View alertPolicy FDA-BLA761063 · Neurology
Emgality (galcanezumab) is likely to receive a new J-code for billing under Medicare Part B since it is an injectable drug. The drug may be eligible for ASP+6% reimbursement, given its injectable stat
View alertPolicy FDA-BLA761119 · Neurology
VYEPTI (Eptinezumab-JJMR) is an injectable medication likely to receive a J-code for billing under Medicare Part B. Its category may allow for ASP+6% reimbursement, but billing teams should confirm th
View alert