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Please help me with information for billing a snoring appliance. Patient has a
snoring issue.
Thanks,
Linda
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No problem, the code for a custom made oral appliance for snoring and/or sleep apnea is:
Hi Linda
E0486 - Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment
If the device is not custom made but pre-fabricated, the code is:
E0485 - Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, prefabricated, includes fitting and adjustment
The ICD-10 diagnosis code for snoring is:
R06.83
However, just a heads up, most medical insurers do not offer coverage for oral appliances to treat snoring alone, as they consider it "not medically necessary". However, most insurer will cover them with a diagnosis of Obstructive Sleep Apnea (OSA).
Hope this helps!
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