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Based on the OHTA technology assessment, Medicare issued a national coverage determination (see CIM 60-17) which covered CPAP for adult patients with moderate or severe OSA for whom surgery is a likely alternative (effective date January 12, 1987), and adopted OHTA's recommendations on the diagnosis of OSA.
Since the 1986 decision specifically addressed CPAP only, the Durable Medical Equipment Regional Carriers (DMERCs) have issued a respiratory assist devices regional medical review policy (RAD RMRP) that addresses Bi PAP devices and other accessories (last revised in 1999).
The pharynx has been identified as the primary site of obstruction in most patients.
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