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Last 10 Posts (In reverse order)
Seguro Medico Ahora Posted: Friday, November 18, 2022 1:28:18 AM(UTC)
Message was deleted by a Moderator. | Reason: Not specified
Seguros Enterate Posted: Thursday, November 17, 2022 11:29:13 PM(UTC)
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erinmcg14 Posted: Tuesday, June 30, 2015 7:07:51 AM(UTC)
I thought so... thanks so much for the clarification!!
courtneydsnow Posted: Monday, June 29, 2015 5:03:53 PM(UTC)
Hi erinmcg14!

Great question! You have a few options for coding for the TSD/TRD, depending on what type of TRD it is :)

Basically, TRD's actually fit the description for HCPCS codes E0485 & E0486:

E0485 = Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, prefabricated, includes fitting and adjustment

E0486 = Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment

Another option:
E1399 - durable medical equipment, miscellaneous

For example, in Cigna's medical policy states:

“Cigna covers a tongue-retaining device or a mandibular repositioning appliance (HCPCS codes E0485, E0486, S8262)), also referred to as mandibular advancement appliance or mandibular advancement splint, as medically necessary for an individual with mild or moderate OSA when EITHER of the following criteria is met:

•apnea/hypopnea index (AHI) or respiratory disturbance index (RDI) ≥ 15 and < 30*, as documented by polysomnography (PSG) or home/portable sleep study

•AHI or RDI ≥ 5 and < 15*as documented by PSG or home/portable sleep study, when accompanied by symptoms of OSA (e.g., excessive daytime sleepiness, impaired cognition, mood disorders or insomnia) or when individual has hypertension, ischemic heart disease or history of stroke”

Here is a link to the full policy if you are interested:

So if the TRD is being used to treat snoring only, there will not likely be much coverage......most medical policies do not show treatment of snoring as a medically necessary service....yet! I am sure it will one's getting there :)

Hope this helps, please let us know if yuu have any further questions!
erinmcg14 Posted: Monday, June 29, 2015 12:51:22 PM(UTC)
is there a specific code medical or dental I use for a tongue stabilization device?? This is strictly for snoring... This will not be billed to medical however, I want all the proper documentation. Thanks in advance!!