As with any type of medical product, you should always research which costs can be covered by your medical provider. You may want to file for insurance to cover the costs of your OASYS product. Based on our patient's experiences, we would like to provide you with information on how to file for insurance and which CPT codes you may need to use when contacting your insurance carrier. As always, please check with your medical insurance provider about the type of coverage you have available. If you need additional assistance do not hesitate to contact us.
Filing for Insurance
If you are going to file for insurance to cover the costs of the OASYS Oral Nasal Airway System®, coverage for treatment of obstructive sleep apnea is provided under your medical insurance carrier. Therefore it is critical that you file for medical insurance not dental insurance.
Usually oral appliances fall under the same category as DME, durable medical equipment and prostheses. If this is not the case, ask if oral appliances are covered by the insurance benefits. Be sure to tell the claims personnel that you have a CPT code. This will speed up the approval process.
The codes listed below have all had successful approval in many cases. Be sure to have a note of medical necessity signed by the prescriber and a description of the OASYS Oral Nasal Airway System® as a FDA approved appliance for treatment of snoring and obstructive sleep apnea and its function below.
The codes that we can provide are:
|Diagnostic code 327.23||Obstructive Sleep Apnea|
|E0486||Oral Appliance to Treat Sleep Apnea|
|70355||Panoramic X-Ray of Jaws|
|95806||Sleep Study Unattended|
|99204||New Exam/Evaluation Level 4|
|99244||Comprehensive Consult Level 4|