New ICD-10 Diagnosis Codes for OSA. Effective October 1, 2015, the diagnosis code on the CMS-1500 for Obstructive Sleep Apnea is now G47.33. Reimbursement claims with a date of service on or after October 1, 2015 require the use of the new code. The treatment code of E0486 for a Custom Fabricated Oral Appliance for OSA remains the same.
There are two codes to choose from when coding for oral appliances being used to treat snoring and Obstructive Sleep Apnea (OSA), E0486 and E0485. E0486 is commonly covered by medical insurance for patients who meet criteria.
Effective October 1, 2015, the diagnosis code on the CMS-1500 for Obstructive Sleep Apnea is now G47.33. Reimbursement claims with a date of service on or after October 1, 2015 require the use of the new code. The treatment code of E0486 for a Custom Fabricated Oral Appliance for OSA remains the same.
G47.30 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM G47.30 became effective on October 1, 2021. This is the American ICD-10-CM version of G47.30 - other international versions of ICD-10 G47.30 may differ. nonorganic sleep disorders ( F51.-)
Medical Code for Custom-Fitted Obstructive Sleep Apnea Appliance. E0486 is the current HCPCS medical code for a custom-fitted mandibular sleep apnea appliance, used for dental sleep medicine medical billing.
A sleep appliance is billed as E0486 — Oral Device/Appliance Used to Reduce Upper Airway Collapsibility, Adjustable or Non-Adjustable, Custom Fabricated, Includes Fitting and Adjustment.
33 – Obstructive Sleep Apnea (Adult) (Pediatric) ICD-Code G47. 33 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Obstructive Sleep Apnea (Adult) (pediatric).
HCPCS code E0486 describes a custom fabricated oral appliance created from scratch using oral/dental impressions or molds taken from the patient.
Using Code D5999 for Billing Sleep Apnea Device - eAssist Dental Billing.
D9947 — Custom sleep appliance fabrication and placement.
CPT/HCPCS Codes Unattended sleep studies: 95800, 95801, 95806 (Facility) and G0398, G0399, and G0400 (Home).
ICD-10 code F51. 01 for Primary insomnia is a medical classification as listed by WHO under the range - Mental, Behavioral and Neurodevelopmental disorders .
ICD-10 Code for Sleep apnea, unspecified- G47. 30- Codify by AAPC. Diseases of the nervous system. Episodic and paroxysmal disorders.
Oral appliances for obstructive sleep apnea are covered under Medicare if they fulfill specific criteria and are determined to be “Medicare-approved.” To qualify for coverage: The patient must see a doctor prior to seeking coverage and a dentist must order the device.
A CUSTOM FABRICATED MANDIBULAR ADVANCEMENT ORAL APPLIANCE (E0486) USED TO TREAT OBSTRUCTIVE SLEEP APNEA (OSA) IS COVERED IF CRITERIA A – D ARE MET. A. The beneficiary has a face-to-face clinical evaluation by the treating physician PRIOR to the sleep test to assess the beneficiary for obstructive sleep apnea testing.
CPT Code 95800 Sleep study, unattended, simultaneous recording: heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep time.