Cdt Code For Sleep Apnea Appliance

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. Icd 10 diagnosis code for obstructive sleep apnea.

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Reimbursement claims with a date of service on or after october 1 2015 require the use of the new code.

Cdt code for sleep apnea appliance. 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. The cdt 2018 code d9940 occlusal guard by report did not specify full or partial arch nor indicate the type of guard hard or soft. Code on dental procedures and nomenclature.

If the diagnosis is mild to moderate obstructive sleep apnea the patient will be fitted with an oral sleep apnea appliance. These new occlusal guard codes distinguish between the type of material used and the amount of arch covered. Refer for sleep study to determine diagnosis.

Insurance carriers follow a policy that says if the diagnoses and procedures are not documented it did not happen. These codes are not to be reported for any type of sleep apnea snoring or tmd appliances. E0486 oral device appliance used to reduce upper airway collapsibility adjustable or non adjustable custom fabricated includes fitting and adjustment.

For those dental practices billing medical insurance here are some recent changes that have taken place and some tips for success. Correct coding for oral appliances for the treatment of obstructive sleep apnea e0486 recently questions have arisen about reimbursement for custom fabricated oral appliances coded as e0486 oral device appliance used to reduce upper airway collapsibility adjustable or non adjustable custom fabricated includes fitting and adjustment. D9946 occlusal guard hard appliance partial arch removable dental appliance designed to minimize the effects of bruxism or other occlusal factors.

New icd 10 diagnosis codes for osa effective october 1 2015 the diagnosis code on the cms 1500 for obstructive sleep apnea is now g47 33. G47 33 obstructive sleep apnea adult pediatric cpt code for sleep apnea custom oral appliance. Ada dental product guide.

The code most often used for a sleep apnea device is e0486 as long as the device meets certain criteria as below. Not to be reported for any type of sleep apnea snoring or tmd appliances. Product vendor image additional information.

Oral arts dental laboratory inc. Icd 780 53 hyper somnia with sleep apnea 786 03 sleep apnea or 780 57 sleep apnea splint procedure codes. Sleep apnea snoring appliances.

Therefore be thorough with documentation. Anyway it is more complex than just a code. Myerson ema sleep apnea snoring device.

On the other hand medical insurance routinely reimburses dentists for oral appliances. D 9941 or l 8048 l 8043 unspecified maxillofacial prosthesis provided by non physician or k 0183 nasal applicator device used with cpap.

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