LCD for Polysomnography and Sleep Studies (L26428)

Contractor InformationContractor Name National Government Services, Inc. Contractor Number 00803 Contractor Type Carrier LCD InformationLCD ID Number L26428 LCD Title Polysomnography and Sleep Studies Contractor's Determination Number L26428 Cor#1 AMA CPT / ADA CDT Copyright Statement CPT codes, descriptions and other data only are copyright 2007 American Medical Association (or such otherdate of publication of CPT). All Rights Reserved. Applicable FARS/DFARS Clauses Apply. Current DentalTerminology, (CDT) (including procedure codes, nomenclature, descriptors and other data contained therein)is copyright by the American Dental Association. 2002, 2004 American Dental Association. All rightsreserved. Applicable FARS/DFARS apply. CMS National Coverage Policy Language quoted from Centers for Medicare and Medicaid Services (CMS). National CoverageDeterminations (NCDs) and coverage provisions in interpretive manuals is italicized throughout the and coverage provisions in interpretive manuals are not subject to the Local Coverage Determination(LCD) Review Process (42 CFR [b] and 42 CFR 426 [Subpart D]).

Sleep studies should be performed in a hospital, sleep laboratory or by an Independent Diagnostic Treatment Facility that is supervised by a physician (MD/DO) trained in analyzing and interpreting the recordings and should be attended by a trained technologist. (For exception to the attendance requirement, see the section on sleep

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  Studies, Sleep, Sleep studies

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