Starting at: http://www.cms.gov
Centers for Medicare & Medicaid Services
Under "Regulations & Guidance" I clicked "more" to go to this page:
http://www.cms.gov/home/regsguidance.asp
At bottom of the "Regulations & Guidance" page, under "Browse by Special Topic", I clicked "Medicare Coverage Center" which opened this page:
http://www.cms.gov/center/coverage.asp
On the Medicare Coverage Center page, under "Important Links - Coverage Process" I clicked "Local Coverage Determinations" which opened:
http://www.cms.gov/DeterminationProcess ... #TopOfPage
On the Local Coverage Determinations page, I clicked "LCDs by State"
On the page for LCDs by State Index Criteria I selected Tennessee in the drop down menu, then clicked "submit report."
That took me to Select a contractor to view a list of LCDs
On the far right side of the table, under the column for Durable Medical Equipment Regional Carriers/PSCs/MACs I clicked "Cigna Government Services (18003, DME MAC)" which opened this page:
http://www.cms.gov/mcd/results_index.as ... er_range=4
I looked down through the alphabetically listed items to find Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea (on page 2) and clicked "L11518."
There's also a link for "Oral Appliances for Obstructive Sleep Apnea" on the same page, btw.
That took me to Medicare Coverage Database
http://www.cms.gov/mcd/viewlcd.asp?lcd_ ... es+(18003):
(yes, that URL ends with a colon)
At the bottom of the page I had to click an "Accept" button before I could go further.
After clicking "Accept", this page opened:
LCD for Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea (L11518)
http://www.cms.gov/mcd/viewlcd.asp?lcd_ ... 2&show=all
Near the bottom of the page under "All Versions" this was mentioned:
Updated on 03/05/2010 with effective dates 04/01/2010 - 02/03/2011
In the "Jump to Section..." box up near the top of the page, I clicked Indications and Limitations of Coverage and/or Medical Necessity
Scrolled down the page and found Accessories and CPT/HCPCS Codes
Many (not all) private insurance companies use the same billing codes and replacement schedule as Medicare.
