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