Dental Sleep Medicine Insider September 2015 | Page 20
RIGHT DEVICE
SELECT THE
FOR MEDICARE PATIENTS
BY DR. RICHARD DRAKE
“Which device should I make for THIS patient?”
In the “Search by HCPCS information”,
type in “E0486” into the HCPCS Code
box and then click “GO”. Then click on
the E0486 at the bottom left; lastly,
click on “Go” again; finally, it will take
you to a table showing a list of many
dental devices. Remember, though,
that the only ones that are approved
SUMMARY:
• Medicare requires you to use
an approved dental device
• E0486 is considered
a global fee
• You cannot bill E0486
again for five years
We get asked this question hundreds of
times a month, and we’ve talked many
times before about how we get to the
point where we finally pick one. Last I
checked, there were over 100 FDA cleared
dental devices. That’s a lot of choices.
How do we narrow it down? It’s easy if
you’re treating a MEDICARE patient
because your choices are limited,
ever-changing DSM insurance landscape.
MEDICARE requires you to use a Medicare Approved Device. See the table
below for the current list of approved
dental devices. Though the current list is
not so long, keep in mind that many other
device manufacturers are in the process
of trying to get their devices
approved. No doubt that this list will
grow over time or Medicare will revise
their guidelines. Good luck!
DEVICE
MANUFACTURER/DISTRIBUTOR
ASA FH Oral Appliance
Dental Crafters 1st Snoring Appliance
Crane Acrylic Herbst Appliance
Herbst Adjustable
Herbst
Herbst Sleep Appliance
OASYS Hinge Appliance
OASYS Hinge / Nasal Dilator / Lingual lift
OASYS Hinge Nasal Dilators
Respire Pink Series - Herbst
Somnodent Herbst Advance Classic
Somnodent Herbst Advance Flex
Somnodent Herbst Classic
Somnodent Herbst Flex
TAP
TAP
TAP 3 Oral Appliance
Telescopic Herbst Sleep Appliance
The Metz Appliance
SUAD Device
SUAD Elite
UCLA Modified Herbst
American Sleep Association
Dental Crafters, Inc.
Crane Dental Lab
Dynaflex
Dream Systems LLC
Gergens Ortho Lab
Dream Systems LLC
Dream Systems LLC
Dream Systems LLC
Respire Medical
Somnomed
Somnomed
Somnomed
Somnomed
Airway Management
Airway Management
Airway Management
Great Lakes Ortho
The Metz Dental Laboratory
Strong Dental
Strong Dental
Space Maintainers Lab
LINK TO LIST OF CURRENT DEVICES:
https://www.dmepdac.com
/dmecsapp/do/productsearch
are the ones that do NOT have an END
Date. I know. Could they possibly
make it any more difficult? I don’t
think you could even if you