Transcription of Polysomnography and Portable Monitoring for Sleep Related ...
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Polysomnography and Portable Monitoring for Sleep Related ...
MEDICAL POLICY. Polysomnography AND Portable . Monitoring FOR EVALUATION OF Sleep . Related BREATHING DISORDERS. Policy Number: 2014T0334P. Effective Date: April 1, 2014. Table of Contents Page Related Medical Policies: BENEFIT CONSIDERATIONS 1 Obstructive Sleep COVERAGE 2 Apnea Treatment DEFINITIONS . 5. APPLICABLE 8. DESCRIPTION OF 9. CLINICAL 11. FOOD AND DRUG 20. CENTER FOR MEDICARE AND MEDICAID. SERVICES . 22. 22. POLICY HISTORY/REVISION 27. Policy History Revision Information INSTRUCTIONS FOR USE. This Medical Policy provides assistance in interpreting UnitedHealthcare benefit plans. When deciding coverage, the enrollee specific document must be referenced. The terms of an enrollee's document ( , Certificate of Coverage (COC) or Summary Plan Description (SPD). and Medicaid state contracts)) may differ greatly from the standard benefit plans upon which this medical policy is based. In the event of a conflict, the enrollee's specific benefit document supersedes this Medical Policy.
Polysomnography and Portable Monitoring for Sleep Related Breathing Disorders: Medical Policy (Effective 04/01/2014) 2
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