HCPCS code E0486: Oral Device/Appliance Used to Reduce Upper Airway Collapsibility, Adjustable or Non-adjustable, Custom Fabricated, Includes Fitting and Adjustment

Obtain a list of the documentation and billing requirements from our short guide to properly use and bill for HCPCS code E0486.

Use Code

Frequently asked questions

E0486 is for a custom-fabricated mandibular advancement device, which is uniquely made for an individual patient from a dental impression. E0485 is for a prefabricated device, which is mass-produced and then "custom-fitted" by trimming, bending, or molding. E0486 is the only code widely reimbursed for a custom oral appliance.

Yes. Only devices reviewed and listed by PDAC are eligible for billing under E0486. Other products—even if custom-fit—will be denied.

No. E0486 is comprehensive—it includes all fittings and adjustments within the 90-day period. No separate charges are allowed.