Cpt Code For Oral Appliance For Sleep Apnea

Icd 10 diagnosis code for obstructive sleep apnea. Correct coding for oral appliances for the treatment of obstructive sleep apnea e0486 recently questions have arisen about reimbursement for custom fabricated oral appliances coded as e0486 oral device appliance used to reduce upper airway collapsibility adjustable or non adjustable custom fabricated includes fitting and adjustment.

Higher To Health On Instagram Research Lotus Births And Natural

And hcpc insurance code.

Cpt code for oral appliance for sleep apnea. Anyway it is more complex than just a code. Some insurers accept the g codes while others accept the cpt codes for hsats 95800 95801 and 95806. G codes home sleep apnea testing the g codes g0398 g0399 and g0400 which describe home sleep apnea testing hsat services were added to the healthcare common procedure coding system hcpcs level ii in 2008.

To this end the dental professional may consider sharing the aadsm protocols and aasm practice parameters with the insurance company to emphasize that oral appliance therapy is an accepted treatment for this medical condition. Under the draft policy coverage for the device applies where. 21089 or 5999 unlisted maxillofacial prosthetic procedure s8260 oral orthotic for treatment of sleep apnea includes fitting fabrication and materials s8262 mandibular orthopedic.

There are two codes to choose from when coding for oral appliances being used to treat snoring and obstructive sleep apnea osa e0486 and e0485. On the other hand medical insurance routinely reimburses dentists for oral appliances. Oral appliance therapy in the medical treatment of obstructive sleep apnea.

The code most often used for a sleep apnea device is e0486 as long as the device meets certain criteria as below. Correct coding for oral appliances for the treatment of obstructive sleep apnea e0486. E0486 oral device appliance used to reduce upper airway collapsibility adjustable or non adjustable custom fabricated includes fitting and adjustment.

G47 33 obstructive sleep apnea adult pediatric cpt code for sleep apnea custom oral appliance. E0486 is commonly covered by medical insurance for patients who meet criteria. A copy of the original physician s md do etc request order or referral to dentist dmd dds for the oral sleep apnea appliance.

In order to support and substantiate claims for an oral sleep apnea device appliance e0486 the following documentation must be kept on file and supplied by the dentist dmd dds for review upon request. There are no specific dental codes available for oral appliances for obstructive sleep apnea osa and it s almost unheard of for dental plans to reimburse for these devices. The dme contractors on september 18 issued a draft policy regarding application of medicare coverage for oral appliances prescribed for patients with obstructive sleep apnea osa comments to the four dme contractors will be accepted through november 3 2008.

For those dental practices billing medical insurance here are some recent changes that have taken place and some tips for success. E0485 is commonly n. Cpt 21110 used for all oral appliances patient is responsible for obtaining authorization prior to payment or receiving appliance.

Looking For A Good Medical Coding Service Provider Nierman