CommercialCoverageMedium impact
11.00.06w, Treatment of Obstructive Sleep Apnea (OSA) and Primary Snoring
Independence Blue Cross·Sleep Medicine, Pulmonology, ENT (Ear, Nose & Throat) +2 more·Medical Policy
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Summary
The policy for Treatment of Obstructive Sleep Apnea (OSA) and Primary Snoring has been updated with an effective date of January 1, 2026. This is a very recent policy change that will impact billing and coverage determinations for sleep apnea treatments and procedures.
Action Required
By December 31, 2025: Billing team must review the full updated policy at the provided URL to identify specific changes to coverage criteria, prior authorization requirements, and billing procedures for OSA and primary snoring treatments. Update billing system rules and staff training materials accordingly before the January 1, 2026 effective date.