HCPCS code E0485 — Oral device/appliance prefab.
Status: Active.
Effective Jan 1, 2006.
Source: CMS HCPCS Level II.
E0485
ActiveOral device/appliance prefab
Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, prefabricated, includes fitting and adjustment
Category:
DME
Section:
E-codes: Durable Medical Equipment
Effective:
Jan 1, 2006
Code type:
alphanumeric
OPPS Status:
Y
— Non-implantable durable medical equipment
MUE — Medically Unlikely Edits
Maximum units of E0485 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| DME Supplier | 1 |
| Outpatient Hospital | 0 |
| Practitioner Services | 0 |
Source: CMS Medicare NCCI Medically Unlikely Edits