What is the Medicare and Medicaid coverage for continuous positive airway pressure (CPAP) therapy for the treatment of obstructive sleep apnea (OSA)?

Updated: Sep 15, 2020
  • Author: Himanshu Wickramasinghe, MD, MBBS; Chief Editor: Zab Mosenifar, MD, FACP, FCCP  more...
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Answer

For Medicare and Medicaid patients, regulations state that the coverage of CPAP is initially limited to a 12-week period for beneficiaries diagnosed with OSA as determined Centers for Medicare and Medicaid Services (CMS) criteria. CPAP is subsequently covered for those beneficiaries diagnosed with OSA whose OSA improved as a result of CPAP treatment during this 12-week period.


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