Sleep Apnea Appliance Dental Code

On the other hand medical insurance routinely reimburses dentists for oral appliances.

Sleep apnea appliance dental code.

Custom made oral appliance for obstructive sleep apnea osa are not billed to dental insurance only to medical. 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 practices provide oral appliance therapy oat in partnership with physicians and they can rely on experienced medical billing companies to support their. I have found the following codes related to this service.

D 9941 or l 8048 l 8043 unspecified maxillofacial prosthesis provided by non physician or k 0183 nasal applicator device used with cpap. G47 33 obstructive sleep apnea adult pediatric. E0486 is the current hcpcs medical code for a custom fitted mandibular sleep apnea appliance used for dental sleep medicine medical billing. Then he or she will prescribe a device that you can have custom made by a dentist.

The code most often used for a sleep apnea device is e0486 as long as the device meets certain criteria as below. 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. 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. Oral appliance therapy oat can be covered by a patient s medical insurance plan.

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. The procedure would be oral appliance therapy with a custom made oral appliance denoted by the cpt code e0486. Our physician is interested in providing custom oral appliances for the treatment of obstructive sleep apnea. 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.

Remember it s not just snoring and disrupted shuteye that are associated with sleep. As long as the patient has been diagnosed with osa through a sleep study the icd 10 diagnosis code to use is. 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. 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.