Table of content for "Oral device/appliance prefab" (HCPCS E0485)
General information on the “E0485” code
HCPCS Code: E0485
Long Description: Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, prefabricated, includes fitting and adjustment
Short Description: Oral device/appliance prefab
Original information is taken from E0485 page
Pricing indicators
Pricing Indicator Code 1: 32 – Inexpensive & routinely purchased DME (price subject to floors and ceilings). Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage
Coverage: C – Carrier judgment
Type of service
Berenson-Eggers Type of Service (BETOS): D1E – Other DME
Type Of Service 1: P – Lump sum purchase of DME, prosthetics, orthotics
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20060101
Code Effective Date: 20060101
Action Code: N – No maintenance for this code