Hello, Could you please let me know what code we can use for a patient with whom we gave an AM positioner to so he could use it after his oral sleep appliance is taken out in the morning.

Thank you,

Karin

This question is 7 years old and I would like an update.

In 2020 is there a code for the AM positioner?

We include a basic thermoplastic with every device but I would like to offer a custom hard acrylic for those patients who what it. Is there a code for most insurances?

What about with Medicare, I know that they bundle everything, however, is there a way to have the patient pay out of pocket for the upgraded AM positioner if they want it.

Thank you in advance.

Hi stoneridgedentalaz & Guest!

No problem - not much has changed with regards to AM repositioners for treatment of OSA with a custom made mandibular advancement appliance.

As for the AM repositioner – there is not a specific CPT/HCPCS code to represent AM repositioners, so you would end up using a misc/unlisted/by report type code. Heads up – medical insurers do not typically reimburse for these as they are not considered medically necessary.
So, if you are going to bill them out, the most common code we see used is:

99070 - Supplies and materials (except spectacles), provided by the physician or other qualified health care professional over and above those usually included with the office visit or other services rendered (list drugs, trays, supplies, or materials provided)


Hope this helps!