טיפולי ה-Genio® של Nyxoah זוכים להגדלה משמעותית בהחזרי Medicare לשנת 2026 במסגרת תקנות ה-CMS הסופיות
טיפולי ה-Genio® של Nyxoah זוכים להגדלה משמעותית בהחזרי Medicare לשנת 2026 במסגרת תקנות ה-CMS הסופיות
ההקצאה לטכנולוגיה חדשה APC 1580 מהווה חדשות חיוביות עבור הפריסה
המסחרית של Nyxoah בארצות הברית על ידי חיזוק הכלכלה
של בתי החולים וה-ASC
מון-סן-גיבר (בלגיה), 26 בנובמבר 2025, GLOBE
NEWSWIRE –
Nyxoah SA
(נאסד"ק/יורונקסט בריסל: NYXH) ("Nyxoah" או
"החברה"), חברת טכנולוגיות רפואיות שמתמקדת בפיתוח ומסחור של פתרונות
ושירותים חדשניים לדום נשימה בשינה (OSA) באמצעות נוירומודולציה, הודיעה כי המרכזים לשירותי Medicare ו- Medicaid של ארצות הברית (CMS) סיימו לקבוע את התקנות ל-2026 של
מערכת התשלומים הצפויים לאשפוז חוץ (HOPPS) ולמרכז הכירורגי האמבולטורי (ASC). במסגרת התקנות הסופיות, CMS הקצה את הקוד CPT 64568, הקוד המשמש לכל שתלי גירוי העצב
התת לשוני (HGNS)
של Genio,
לסיווג התשלומים האמבולטוריים הטכנולוגיים החדש (APC) 1580.
Nyxoah’s Genio® Therapy Receives Significant 2026
Medicare Reimbursement Increases Under Final CMS Rule
Assignment to New Technology APC 1580 is positive
news for Nyxoah’s U.S. commercial rollout by strengthening hospital and ASC
economics
Mont-Saint-Guibert (Belgium), November 26, 2025, GLOBE NEWSWIRE –
Nyxoah
SA (Euronext Brussels/Nasdaq: NYXH) (“Nyxoah” or the “Company”), a medical
technology company that develops breakthrough treatment alternatives for
Obstructive Sleep Apnea (OSA) through neuromodulation, today announced that the
U.S. Centers for Medicare & Medicaid Services
(CMS) has finalized its CY2026 Hospital Outpatient Prospective Payment System
(HOPPS) and Ambulatory Surgery Center (ASC) Rule. Within the final rule, CMS
assigned CPT Code 64568, the code used for all Genio hypoglossal nerve
stimulation (HGNS) implants, to New Technology Ambulatory Payment
Classification (APC) 1580.
Effective January 1, 2026, Hospital Outpatient
Department (HOPD) reimbursement for CPT 64568 will increase to approximately
$45,000, a 48% rise compared to 2025. In addition, Ambulatory Surgery Centers
(ASC) facility reimbursement will increase to $42,373, reflecting a 58%
increase compared to 2025.
These updates apply uniformly to all procedures
billed under CPT 64568, including Genio®, and strengthen the economic
foundation supporting therapy adoption across U.S. hospital outpatient
departments and ambulatory surgical centers. With CMS’ decision, Genio® enters
2026 with a stronger reimbursement framework that is expected to support
broader adoption, increased procedural throughput, and expansion across
Medicare-heavy institutions.
Genio®’s single-incision procedure is well suited
for the ASC environment, and the significant increase in ASC facility payment
creates new opportunities for therapy expansion and site-of-service
diversification.
“CMS’ decision to significantly increase
reimbursement for CPT 64568 reinforces the growing recognition of hypoglossal
nerve stimulation as a high-value therapy for obstructive sleep apnea,”
commented Olivier Taelman, Nyxoah's Chief Executive Officer.“ The new rates
create a more favorable environment for expanding access to our Genio therapy
across both outpatient hospitals and ASCs.”
About Nyxoah
Nyxoah is a medical technology company focused on
the development and commercialization of innovative solutions to treat OSA.
Nyxoah’s lead solution is the Genio system, a patient-centered, leadless and
battery-free hypoglossal neurostimulation therapy for OSA, the world’s most
common sleep disordered breathing condition that is associated with increased
mortality risk and cardiovascular comorbidities. Nyxoah is driven by the vision
that OSA patients should enjoy restful nights and feel enabled to live their
life to its fullest.
Following the successful completion of the BLAST
OSA study, the Genio system received its European CE Mark in 2019. Nyxoah
completed two successful IPOs: on Euronext Brussels in September 2020 and
NASDAQ in July 2021. Following the positive outcomes of the BETTER SLEEP study,
Nyxoah received CE mark approval for the expansion of its therapeutic
indications to Complete Concentric Collapse (CCC) patients, currently
contraindicated in competitors’ therapy. Additionally, the Company announced
positive outcomes from the DREAM IDE pivotal study and receipt of approval from
the FDA for a subset of adult patients with moderate to severe OSA with an AHI
of greater than or equal to 15 and less than or equal to 65.
For more information, please visit http://www.nyxoah.com/.
Caution – CE marked since 2019. FDA approved in
August 2025 as prescription-only device.
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