Oral appliance therapy oat can be covered by a patient s medical insurance plan. Obstructive sleep apnea the diagnosis can only be made by the physician and if prescribed oral appliance therapy is provided by dentists trained in dental sleep medicine and in the use of oral appliances for the management of obstructive sleep apnea.
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Icd 10 diagnosis code for obstructive sleep apnea.
Sleep apnea dental appliance ada code. Silent nite sl is a dentist prescribed anti snoring and sleep apnea device from glidewell laboratories that positions the lower jaw forward using special slide link connectors attached to upper and lower splints. 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.
Icd 780 53 hyper somnia with sleep apnea 786 03 sleep apnea or 780 57 sleep apnea splint procedure codes. Currently there is only one medical diagnosis code available for osa so if the patient has this condition the diagnosis code on the sleep study will be icd diagnosis code g47 33 which stands for obstructive sleep apnea adult pediatric. Oral arts dental laboratory inc.
On the other hand medical insurance routinely reimburses dentists for oral appliances. 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. E0486 is the current hcpcs medical code for a custom fitted mandibular sleep apnea appliance used for dental sleep medicine medical billing.
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. Myerson ema sleep apnea snoring device. These custom made splints are comprised of a soft comfortable inner layer with a hard durable outer layer both of which are bpa free.
Ada dental product guide. E0486 oral device appliance used to reduce upper airway collapsibility adjustable or non adjustable custom fabricated includes fitting and adjustment. The code most often used for a sleep apnea device is e0486 as long as the device meets certain criteria as below.
G47 33 obstructive sleep apnea adult pediatric cpt code for sleep apnea custom oral appliance. Anyway it is more complex than just a code. Sleep apnea snoring appliances.
D 9941 or l 8048 l 8043 unspecified maxillofacial prosthesis provided by non physician or k 0183 nasal applicator device used with cpap. 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. Product vendor image additional information.
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