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tsnow
#81 Posted : Monday, November 12, 2018 9:47:06 AM(UTC)
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tsnow

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Joined: 10/13/2015(UTC)
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Hi Guest!

In order for original/traditional Medicare to offer coverage for custom made oral appliances for OSA, the dental practice must be enrolled as a Medicare DME supplier. Once enrolled, there is actually no pre-authorization required for OAT for OSA.

If you are not currently enrolled, it may be best to refer this patient to a practice that is, as the enrollment process typically takes anywhere between 3-6 months.

Hope this helps!
Guest
#82 Posted : Thursday, August 27, 2020 3:41:06 PM(UTC)
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#83 Posted : Friday, March 3, 2023 9:02:22 AM(UTC)
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Guest
#84 Posted : Wednesday, May 17, 2023 10:30:59 AM(UTC)
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Can you please tell me the current (2023)or most recent oral appliance (E0486) reimbursement rate for medicare in CA?
courtneydsnow
#85 Posted : Monday, May 22, 2023 12:42:14 PM(UTC)
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courtneydsnow

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Hi Guest!

No problem. The allowed amount for Medicare DME for E0486 for California is approx 1636.27

Hope this helps!
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