Revised DME Medicare Coding Guidelines for Oral Appliances

American Academy of Dental Sleep Medicine
Monday, July 9, 2012

In an article published July 5, 2012, CGS Administrators LLC announced that the Durable Medical Equipment Medicare Administrative Contractors (DME MACs) have revised the coding guidelines for custom fabricated oral appliances coded as E0486.  These guidelines are used by the Pricing, Data Analysis and Coding (PDAC) contractor when a device manufacturer submits a coding verification application for inclusion into code E0486 of Medicare's Healthcare Common Procedure Coding System (HCPCS).

Complete details about the revised coding guidelines are available to members in the Practice Management Resources section of the AADSM website. The AADSM will continue to provide members with additional information about the coding guidelines on the AADSM website and in the e-news member update.

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