PROPOSED/DRAFT Local Coverage Determination (LCD):
Polysomnography (DL36593)
Policy adds PLMS/RLS and Respiratory disorders as indications
Limits techs credentials, but adds RST
1. Registered Polysomnography Technologist (RPSGT)
2. Registered Electroencephalographic technologist (R. EEG T.) – Polysomnography
3. Certified Respiratory Therapist -Sleep Disorders Specialist (CRT-SDS)
4. Registered Respiratory Therapist -Sleep Disorders Specialist (RRT-SDS)
5. American Board of Sleep Medicine Registered Sleep Technologist (RST)
and tightens sleep facilities
The sleep center or laboratory must maintain documentation on file that indicates it is accredited by the American Academy of Sleep Medicine (AASM), Accreditation Commission for Health Care (ACHC), or that it is accredited as a sleep laboratory by the Joint Commission. If the Joint Commission survey of the general hospital accreditation includes the hospital-based sleep lab, an additional accreditation is not needed. This documentation must be available on request. The AASM, ACHC, or Joint Commission accreditation applies to the hospital and freestanding facilities (including sleep clinics that are part of a physician’s office, and all other non-hospital-based facilities where sleep studies are performed. Diagnostic testing performed in an Independent Diagnostic Testing Facility (IDTF) must follow the supervision and credentialing guidelines set forth by CMS and/or Palmetto GBA.
Interesting changes proposed. Some good, but will disenfranchise RT's without SDS. Is there a sub specialty certification in polysomnography for R.EEG.T?
