The most common form of sleep apnea is obstructive sleep apnea and medicare does offer coverage for some dental appliances that. Under the draft policy coverage for the device applies where.
4 Updates For Dentists Providing Medicare Beneficiaries With Oral
Prior to the sleep test to assess the beneficiary for obstructive sleep apnea testing.
Medicare sleep apnea oral appliance. If you ve decided to consider providing oral appliance therapy oat for patients with obstructive sleep apnea osa it s natural to feel a bit intimidated regarding the new path of navigating medical insurance. The dme contractors on september 18 issued a draft policy regarding application of medicare coverage for oral appliances prescribed for patients with obstructive sleep apnea osa comments to the four dme contractors will be accepted through november 3 2008. Home blog dental sleep management billing medicare for oral appliance therapy share this.
A custom fabricated mandibular advancement oral appliance e0486 used to treat obstructive sleep apnea osa is covered if criteria a d are met. The beneficiary has a face to face clinical evaluation by the treating practitioner. Medicare covers a three month trail of cpap treatment for sleep apnea.
Sleep apnea is a serious disorder that affects your body s ability to breath while you are sleeping. Steps to better sleep. Without further ado let s explore some main points to be aware of when billing medicare for oral appliances for osa.
It results in your breathing stopping and restarting randomly which can be dangerous for your overall health. Medicare offers reimbursements for oral appliances for those 65 and older under the durable medical equipment dme benefit. The lcd is titled oral appliances for obstructive sleep apnea l33611.
Those with medicare part b are also covered for sleep studies if they have symptoms of sleep apnea and their doctor orders the test. The related policy article is titled oral appliances for obstructive sleep apnea policy article a52512.
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