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Posted by Dwight on June 13, 2000 at 10:43:16:

In Reply to: Re: TAP Dental Appliance posted by Gene (Littleton, CO) on June 12, 2000 at 12:24:25:

I'd gotten a copy of a page from the Blue Cross Blue Shield Medical Policy Manual that says:

"It is the consensus of this Committee that the use of apnea appliances is considered ACCEPTED MEDICAL PRACTICE when all the following criteria are met:
. the patient has a diagnosis of obstructive sleep apnea (based on sleep study results) and
. the apnea appliance is being used as an alternative to continuous positive airway pressure (CPAP)"

Prior authorization is required
HCPCS code E1399

BC/BS Medical Policy Manual
Section: Allied Health
Policy: VII-26

My insurance considers it a durable supply and pays 80% of the cost.

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