While Medicare does not provide reimbursement for home oxygen as a treatment of obstructive sleep apnea, many beneficiaries have co-existing chronic pulmonary conditions that would justify coverage of home oxygen, according to CGS Medicare.

However many beneficiaries with OSA have co-existing chronic pulmonary conditions that would justify coverage of home oxygen, after appropriate titration polysomnogram (PSG) and meeting the requirements specified in the Oxygen LCD.  Both the Oxygen LCD and the Positive Airway Pressure Devices (PAP) LCD contain detailed information about the testing necessary to justify payment of home oxygen. This FAQ discusses some of the common scenarios seen.