Sleep Apnea is the temporary cessation of breathing during sleep. Typically indicated by snoring, often times sufferers will awake gasping for breath. Apnea-related disturbances occur repeatedly, resulting in a restless sleep and daytime drowsiness. The disease can cause serious health issues including increased blood pressure and the restriction of oxygen to the brain and blood stream.
How it Works:
TAP® is made of two custom inter-occlusal parts that fit over the mandible and the maxilla. The upper portion of the device hooks into the lower portion, enabling the mandible to be pulled forward. Using a dial mechanism, the appliance is titratable allowing adjustment to determine the degree to which the jaw is held forward. By holding the mandible forward, the TAP maintains a clear airway to reduce snoring and improve breathing.
Benefits of TAP:
- Alleviate Sleep Apnea: Research shows it is the most successful obstructive sleep apnea treatment available.
- Reduce Snoring: An effective appliance to decrease snoring.
- Improve patient’s sleep: Getting a good night’s sleep is critical to the overall health of your patient.
Insurance Tips
- Obtain a copy of the PSG (sleep study) results with a diagnosis of Obstructive Sleep Apnea (OSA)
- Letter of medical necessity
- Description of TAP
- Informed Consent Form
- Referral letter signed by physician
- Completed CMS 1500 medical claim form. CMS forms can be purchased online at http://www.cms.hhs.gov/ or google "CMS 1500" for a variety of vendors.
Here are the commonly used Medical codes for OSA:
- E0486 Oral Appliance to Treat Sleep Apnea
- Diagnostic code 327.23 Obstructive Sleep Apnea
- 70355 Panoramic X-Ray of Jaws
- 95806 Sleep Study Unattended
- 99205 New Comprehensive Exam/Evaluation