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Sleep Apnea

September 9, 2025 by Anonymous

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Sleep Apnea

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I work for a dental office looking to bill medical carriers for sleep apnea cases. I would appreciate any input on this matter. Thank you!

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Posted by danners
Asked on September 9, 2025 7:13 pm
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Are you speaking of oral appliances? If so, those fall under DME benefits. A sleep study is needed prior to initial placement and some plans want a study post placement to see if the device works. Most payers are PAR required due to price and they follow Medicare guidance in the absence of a policy. I have 30 years in DME, plus CMC and CDC. Happy to assist.
(Anonymous at September 10, 2025 6:16 am)
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    Is there a cpt cross code for D6114 does anyone know. Implant abutment supported fixed denture for endentulous arches?

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    Posted by Anonymous
    Answered on September 10, 2025 7:22 am
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      There are many benefits to billing medical carriers for sleep apnea devices. These benefits go beyond just reimbursements. First, your practice is able to serve a broader patient base- many individuals suffering from sleep apnea may not realize that dental professionals can play a key role in their treatment. Second, it opens the door for meaningful professional collaboration with sleep specialists, ENTs, and primary care docs. These relationships not only enhance patient outcomes through coordinated care but also elevate your practice's reputation within the medical community. Third, it helps to set your office apart from others that are limited to only dental services. Patients increasingly seek providers who can offer integrated solutions, and being able to help manage sleep apnea is a powerful differentiator. But most importantly, your office is helping patients improve their overall health. Sleep apnea is a serious condition that affects patients' quality of life and long-term health! By facilitating access to treatment through medical insurance, you can make care more accessible and affordable for your patients and empowering them to take control of their sleep and well-being. Hope this helps!!

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      Posted by Austinida
      Answered on September 10, 2025 4:20 am
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