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Nyxoah's Genio® Therapy Receives Significant 2026 Medicare Reimbursement Increases Under Final CMS Rule

  • Nyxoah's Genio® therapy received significant 2026 Medicare reimbursement increases under the final CMS Hospital Outpatient Prospective Payment System (HOPPS) and Ambulatory Surgery Center (ASC) Rule.
  • The CPT Code 64568 for Genio hypoglossal nerve stimulation implants was assigned to New Technology Ambulatory Payment Classification (APC) 1580.
  • Effective January 1, 2026, Hospital Outpatient Department reimbursement for CPT 64568 will rise to approximately $45,000, a 48% increase from 2025 levels.
  • Ambulatory Surgery Center facility reimbursement for CPT 64568 will increase to $42,373, reflecting a 58% increase compared to 2025.
  • These reimbursement updates apply uniformly to all procedures billed under CPT 64568, including Genio® procedures.
  • The rate increases are expected to strengthen hospital & ASC economics, support broader adoption, increase procedural throughput, & expand across Medicare-heavy institutions.
  • Nyxoah CEO Olivier Taelman stated the decision reinforces the recognition of hypoglossal nerve stimulation as a high-value therapy for obstructive sleep apnea.
  • The single-incision nature of Genio® is well suited for the ASC environment, & the payment increase creates new opportunities for site-of-service diversification.
  • Genio® is a leadless, battery-free hypoglossal neurostimulation therapy approved by the FDA in August 2025 for adult patients with moderate to severe obstructive sleep apnea.
  • Nyxoah received CE Mark approval in 2019, with later indications expanded to include Complete Concentric Collapse patients.