Insurance Questions and Answers
Will the OASYS® be covered by 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.
How do I file for insurance?
If you are going to file for insurance to cover the costs of the OASYS®, file for medical insurance not dental insurance. Usually oral appliances fall under the same category as 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.
These codes have all had successful prior approval. Be sure to have a note of medical necessity signed by the prescriber and a description of the OASYS® 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 |
| 99205 | New Comprehensive Exam/Evaluation |
Insurance Letters and Forms
Description of OASYS® for Treatment of Obstructive Sleep Apnea