Medica policy
Nidra (Noctrix Health) System and Tonic Motor Activation (TOMAC) System for treating Restless Legs Syndrome (RLS)
Nidra (Noctrix Health) System and Tonic Motor Activation (TOMAC) System for treating Restless Legs Syndrome (RLS) is a public Medica policy (effective Aug 1, 2026). It lists 2 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.
View the original policy (PDF) ↗
- Payer
- Medica
- Effective
- Aug 1, 2026
- Line of business
- Commercial, Medicaid
- Source
- partner.medica.com
Codes in this policy
The CPT and HCPCS codes the policy names. A policy can name a code it excludes.
| Code | Other Medica policies |
|---|---|
| A4544 | Policies naming A4544 |
| E0743 | Policies naming E0743 |