Resources | Snore Guard

INSURANCE CODES

Does insurance cover Snore Guard®?

Most insurance companies currently do not recognize snoring as a health problem. Often, insurance companies do cover oral appliances for mild obstructive sleep apnea treatment. If you believe your patient is suffering from more severe forms of Obstructive Sleep Apnea (OSA), they should be referred to a medical physician and/or sleep clinic. If a sleep clinic or medical physician refers a patient with OSA to you, obtain a written referral to treat this patient and submit the referral along with the claim to the insurance company. Please contact the patient's individual insurance company to obtain accurate filing information.

Listed below are some insurance codes that other dentists have submitted.

Dental Codes

5999 Maxifacial Prosthesis
8210Harmful Habit Appliance 
9940, D-9940, D-9941Occlusal Appliance for Bruxism 
ADA Code:
05899 Unspecified Prosthetic Procedure

Medical Codes

    Diagnostic Codes (ICD#):
      780.53
      Hyper-Somnia with Sleep Apnea
    786.03Sleep Apnea 
    780.57Sleep Apnea Splint 
    Procedure Codes:
      D-9941 or L-8048/L-8043
      (Unspecified Maxillofacial Prosthesis provided by non-physician)
    K-0183Nasal applicator device used with CPAP 
    CPT 21085Complete Oral Appliance Therapy 
    CPT 21110Used for all Oral Appliances, patient is responsible for obtaining authorization prior to payment or receiving appliance 
Description: Orthotic used to maintain patency of pharyngeal airway. Upper Respiratory Device or Mandibular Repositioning Device

Healthcare Common Procedure Coding System (HCPCS code)

S8260 Oral orthotic for treatment

Medicare

    ICD-9 Codes (Sleep Medicine)
      327.23
      Obstructive Sleep Apnea
    770.81Primary Sleep Apnea of Infancy 
    327.24 Sleep Related Nonobstructive Alveolar Hypoventilation, Idiopathic 
    327.25Congenital Central Alveolar Hypoventilation Syndrome 
    Sleep Related Hypoventilation/Hypoxemia Due to:
    327.26Lower Airways Obstruction 
    327.26Neuromuscular and Chest Wall Disorders 
    327.26Pulmonary Parenchymal or Vascular Pathology 
    327.20Sleep Apnea/Sleep Related Breathing Disorder, Unspecified 
    327.53Sleep Related Bruxism 

Other Snoring Related Studies

  • "Treatment of Snoring and Obstructive Sleep Apnea with a Dental Orthosis" by Wolfgang W. Schmidt-Nowara, M.D.; Thomas E. Meade, D.D.S.; and Marvin B. Hays, M.D. Published in Chest, Vol. 99, No. 6, (June 1991), pages 1378-1385.
  • "Anti-Snoring Device Works: Product Name Snore Guard" by Gordon J. Christensen, D.D.S., Ph.D. Published in Clinical Research Associates Newsletter, Vol. 16, No. 12, (December 1992), page 4.
  • "Final Project Report-Snore Guard, Project #93-016" USAF Dental Investigation Services, Armstrong Laboratory / AOCD, Brooks AFB, TX, 78234-5117,(March 21, 1994.
  • An American Sleep Disorders Association Review, "Oral Appliances for the Treatment of Snoring and Obstructive Sleep Apnea, A Review" by Wolfgang Schmidt-Nowara, M.D.; Alan Lowe, D.M.D., Ph.D., F.R.C.D(C); Laurel Wiegand; Rosalind Cartwright; Francisco Perez-Guerra; and Stuart Menn. Published in Sleep, Vol. 18, No. 6, March 1995, pages 501-510.
  • "A Randomized Cross-over Study of an Oral Appliance Versus Nasal Continuous Positive Airway Pressure in the Treatment of Mild-Moderate Obstructive Sleep Apnea" by Kathleen A. Ferguson, B.S.C., M.D., F.C.C.P., F.R.C.P.C.; Takashi Ono, D.D.S., Ph.D.; Alan A. Lowe, D.M.A., Ph.D., F.R.C.P.C.; Sean P. Keenan, M.D., F.R.C.P.C.; John A. Fleetham, M.D., F.R.C.P.C. Accepted for publication in Chest, May 1996.