Sleep Apnea Appliance Dental Code

Oral appliance therapy oat can be covered by a patient s medical insurance plan.

Sleep apnea appliance dental code.

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. 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. 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 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. For those dental practices billing medical insurance here are some recent changes that have taken place and some tips for success. Our physician is interested in providing custom oral appliances for the treatment of obstructive sleep apnea. On the other hand medical insurance routinely reimburses dentists for oral appliances.

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. Oral appliances continue to improve as technology and materials advance. G47 33 obstructive sleep apnea adult pediatric. 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.

E0486 is the current hcpcs medical code for a custom fitted mandibular sleep apnea appliance used for dental sleep medicine medical billing. Remember it s not just snoring and disrupted shuteye that are associated with sleep. Dental practices provide oral appliance therapy oat in partnership with physicians and they can rely on experienced medical billing companies to support their. 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.

Custom made oral appliance for obstructive sleep apnea osa are not billed to dental insurance only to medical. The code most often used for a sleep apnea device is e0486 as long as the device meets certain criteria as below. As long as the patient has been diagnosed with osa through a sleep study the icd 10 diagnosis code to use is. Then he or she will prescribe a device that you can have custom made by a dentist.

D 9941 or l 8048 l 8043 unspecified maxillofacial prosthesis provided by non physician or k 0183 nasal applicator device used with cpap.