
Insurance codes used for successful claims
Sorry if this is a repeat question, but I'm new to this site. I manage a dental office which recently added TAP III appliances to our services. I have been very excited to finally be able to offer patients an alternative to CPAP and to also identify those who are at risk and exhibiting symptoms of apnea. We refer our patients to a sleep center affiliated with a local hospital and currently have two patients who qualify for an appliance, however, I am stumbling along with the medical insurance end of this. I called 1st insurance company with diagnosis code and CPT code and was told it is not a covered benefit. However, at the TAP III site, I see their recommended code is 21088 which is not the same code I was told to use. I have code /E0486. Question: have any of you received insurance coverage for your appliance and if so, what codes (diagnosis and procedure code) did you have and which insurance company. I appreciate any help you may be able to give me as we have at least 10 patients scheduled for sleep study, impressions etc. at this time.
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