Polysomnography and Other Sleep Studies Final LCD - Effective July 20, 2025

Date Posted: June 5, 2025

This Local Coverage Determination (LCD) has completed the Open Public Meeting and Contractor Advisory Committee (CAC) comment period and is now finalized under contractor numbers: 01112 (NCA), 01182 (SCA), 01212 (AS, GU, HI, NMI), and 01312 (NV). Responses to comments received may be found as a link at the bottom of the final LCD.

Medicare Coverage Database (MCD) Number/Contractor Determination Number: L36861

LCD Title: Polysomnography and Other Sleep Studies

Effective Date: July 20, 2025

Summary of LCD: The LCD outlines coverage for Polysomnography and other sleep studies with specific details under Coverage Indications, Limitations and/or Medical Necessity.

Visit the Proposed LCDs webpage to access this LCD.

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