Is the D9954 code covered by dental insurance?

Coverage varies by insurance plan and may require pre-authorization. It's advisable to check with the specific provider.

How often should the morning repositioning device be used?

It should be used daily, typically in the morning, to ensure proper jaw alignment after sleep apnea therapy.

Can this device be used for severe sleep apnea cases?

It's generally recommended for mild to moderate cases. Severe cases should be evaluated by a specialist for appropriate treatment.

What should be documented when billing for this code?

Ensure detailed documentation of the diagnosis, necessity, fabrication process, and patient consent for proper billing and compliance.

D9954

Sleep Apnea Morning Device - CDT Code Guide

Sleep Apnea Services

Overview

CDT code D9954 pertains to the fabrication and delivery of an oral appliance therapy (OAT) morning repositioning device. This device is specifically designed for patients undergoing treatment for sleep apnea. It helps reposition the jaw to alleviate symptoms of sleep apnea, particularly after using a mandibular advancement device overnight. Typically, this procedure involves creating a custom-fitted appliance that patients wear in the morning to help realign their bite and jaw position. This is crucial in maintaining the therapeutic effects of overnight oral appliances and ensuring patient comfort and compliance. Dental professionals often recommend this device for patients who experience jaw discomfort or misalignment after using their primary sleep apnea appliance.

When to Use This Code

Patients experiencing jaw discomfort after using a mandibular advancement device
Patients with mild to moderate sleep apnea requiring additional jaw alignment support
Cases where morning repositioning is necessary to maintain occlusal harmony
Patients who report bite changes after sleep apnea treatment
When a dentist determines that additional jaw stabilization is needed post-therapy

Documentation Requirements

Detailed patient history and diagnosis of sleep apnea
Clinical notes on the necessity of the morning repositioning device
Records of the appliance fabrication process
Patient consent forms for oral appliance therapy
Follow-up appointment documentation to assess device efficacy
Detailed billing records including device specifications

Billing Considerations

When billing for D9954, it's important to note that insurance coverage may vary, and pre-authorization might be required. Frequency limitations often depend on the patient's specific insurance plan. Common modifiers like -52 for reduced services may apply if the device is not fully fabricated. Coordination with medical insurance might be necessary, as sleep apnea is a medical condition.

Related CDT Codes

D9944 D9945 D9946 D9947 D9948

Frequently Asked Questions

The device helps realign the jaw and bite after using a mandibular advancement device overnight, reducing discomfort and maintaining occlusal harmony.

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