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Kay Davis
#1 Posted : Friday, December 15, 2017 10:16:34 AM(UTC)
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Can you please provide me the dental sleep apnea CPT code pls?
courtneydsnow
#2 Posted : Friday, December 15, 2017 10:32:42 AM(UTC)
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courtneydsnow

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Hi Kay!

The HCPCS code for a custom made appliance for OSA is E0486.

Hope this helps!
Guest
#3 Posted : Wednesday, March 21, 2018 7:55:33 AM(UTC)
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CPT Code 95800. Sleep study, unattended, simultaneous recording: heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time.

Dr Santosh guptha provides Medical Coding Training and HIPAA training
Guest
#4 Posted : Thursday, March 22, 2018 9:58:23 AM(UTC)
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Is the best diagnosis code for E0486 327.23?
Do you have a list of diagnosis codes for E0486?

Thank You!
courtneydsnow
#5 Posted : Thursday, March 22, 2018 10:04:02 AM(UTC)
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courtneydsnow

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Hi Guest!

327.33 is the ICD-9 diagnosis code for Obstructive Sleep Apnea (adult)(pediatric)

The diagnosis coding switched over to ICD-10 October of 2015.

For most medical insurers, G47.33 is the only diagnosis code that qualifies for coverage of E0486.

However, if the patient is not diagnosed through a sleep study, you may end up using other diagnosis codes such as:

R06.83 - Snoring
G47.10 - Hypersomnia, unspecified
G47.31 - Primary central sleep apnea

etc, etc.

Hope this helps!
Guest
#6 Posted : Thursday, March 22, 2018 10:27:49 AM(UTC)
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Thank you so much!!
Guest
#7 Posted : Thursday, July 23, 2020 2:05:06 PM(UTC)
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Hi I am trying to bill insurance for an oral appliance. This patients particular plan requests this is billed to their dental policy. Do you know which code to submit to dental insurance that corresponds to E0486? Thank you
courtneydsnow
#8 Posted : Thursday, July 23, 2020 4:24:09 PM(UTC)
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courtneydsnow

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Hi Guest!

Hmmm, no I'm sorry I don't! I have never seen a dental insurer cover an appliance to treat Obstructive Sleep Apnea before, only medical (and i've been doing this over a decade!)
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