Sleep Apnea Appliance Dental Code

As long as the patient has been diagnosed with osa through a sleep study the icd 10 diagnosis code to use is.

Sleep apnea appliance dental code.

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. On the other hand medical insurance routinely reimburses dentists for oral appliances. The code most often used for a sleep apnea device is e0486 as long as the device meets certain criteria as below. 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.

Then he or she will prescribe a device that you can have custom made by a dentist. For those dental practices billing medical insurance here are some recent changes that have taken place and some tips for success. 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. Oral appliance therapy oat can be covered by a patient s medical insurance plan.

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. I have found the following codes related to this service. Dental practices provide oral appliance therapy oat in partnership with physicians and they can rely on experienced medical billing companies to support their.

The procedure would be oral appliance therapy with a custom made oral appliance denoted by the cpt code e0486. 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. Custom made oral appliance for obstructive sleep apnea osa are not billed to dental insurance only to medical. G47 33 obstructive sleep apnea adult pediatric.

Anyway it is more complex than just a code. Oral appliances continue to improve as technology and materials advance. 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. If you have sleep apnea and would like to explore the idea of a mouthpiece talk to your doctor first.

E0486 is the current hcpcs medical code for a custom fitted mandibular sleep apnea appliance used for dental sleep medicine medical billing.