WebYes. E0486 is the current HCPCS medical code for a custom-fitted mandibular sleep apnea appliance, used for dental sleep medicine medical billing. 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. WebJul 6, 2012 · Effective July 1, 2012 the coding guidelines for OAOSA items coded as E0486 are revised to state: A custom fabricated oral appliance (E0486) is one which is individually and uniquely made for a specific patient. It involves taking an impression of the patient's teeth and making a positive model of plaster or equivalent material.
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WebOct 1, 2024 · The appliance should be billed out to medical insurance as ‘Durable Medical Equipment (DME),’ which is the same category as crutches, using HCPCS oral appliance code “E0486 — oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom facricated, includes fitting + adjustment.” Web3. Custom fabricated oral appliances (E0486) that do not meet all of the criteria above will be denied as not reasonable and necessary 4. Oral appliances for the treatment of snoring 5. Non-prescription, over the counter oral appliances 6. Oral occlusal appliance used to treat temporomandibular joint (TMJ) disorders CODING/BILLING INFORMATION nifty nut house/wichita
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WebCustom oral appliances (E0486) are eligible for reimbursement only when billed by a licensed dentist (DDS, DMD) with a valid and current order from the treating physician. Medical records may be requested for review at any time to verify medical necessity. WebE0486 is a valid 2024 HCPCS code for Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and … Webfinal oral appliance. A custom fabricated oral appliance may include a prefabricated component (e.g., the joint mechanism). Code E0486 may only be used for custom fabricated mandibular advancement devices. To be coded as E0486, custom f abricated mandibular advancement devices must meet all of the criteria below: • nifty nut house promotional code