Sleep Apnea Appliance Dental Code

Custom made oral appliance for obstructive sleep apnea osa are not billed to dental insurance only to medical.

Sleep apnea appliance dental code.

The description for e0486 is an oral device appliance used to reduce upper airway collapsibility this includes adjustable or non adjustable custom fabricated fitting and adjustment. Dental devices have also been shown to control sleep apnea long term compared to uvulopalatopharyngoplasty uppp the standard surgical procedure for apnea in which the surgeon removes soft. The code most often used for a sleep apnea device is e0486 as long as the device meets certain criteria as below. Oral appliance therapy oat can be covered by a patient s medical insurance plan.

Dental practices provide oral appliance therapy oat in partnership with physicians and they can rely on experienced medical billing companies to support their. As long as the patient has been diagnosed with osa through a sleep study the icd 10 diagnosis code to use is. In order to code this patient correctly we need a diagnosis from a medical point of view and there are many reasons for sleep apnea some threaten the life of the person. Then he or she will prescribe a device that you can have custom made by a dentist.

E0486 is the current hcpcs medical code for a custom fitted mandibular sleep apnea appliance used for dental sleep medicine medical billing. More and more dental practices are adding dental medical cross coding to their insurance processing systems for medically necessary dental procedures of which oral sleep apnea osa is just one. In a dental sleep medicine medical claim the diagnosis diagnosed by a physician as dentists cannot diagnosis obstructive sleep apnea would be obstructive sleep apnea denoted by the icd code g47 33. Dental sleep medicine specialty focuses on the management of sleep related breathing disorders including snoring and obstructive sleep apnea through the use of oral appliance therapy.

Remember it s not just snoring and disrupted shuteye that are associated with sleep. The procedure would be oral appliance therapy with a custom made oral appliance denoted by the cpt code e0486. I have found the following codes related to this service. Oral appliances continue to improve as technology and materials advance.

For those dental practices billing medical insurance here are some recent changes that have taken place and some tips for success. If you have sleep apnea and would like to explore the idea of a mouthpiece talk to your doctor first. Anyway it is more complex than just a code. Our physician is interested in providing custom oral appliances for the treatment of obstructive sleep apnea.

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.