HCPCS code E0486 — Oral device/appliance cusfab. Status: Active. Effective Jan 1, 2006. Source: CMS HCPCS Level II.

E0486

Active

Oral device/appliance cusfab

Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, 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 E0486 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