How often should titration visits occur?

The frequency depends on the patient's needs and insurance coverage, but typically they occur as needed to optimize appliance fit and function.

Can D9955 be used for CPAP titration?

No, D9955 is specifically for oral appliance therapy titration, not CPAP adjustments.

Is a new code needed for each adjustment?

No, D9955 covers the titration visit, which may include multiple adjustments during the session.

What should be documented during a titration visit?

Document the patient's feedback, appliance adjustments, and any changes in symptoms or comfort.

D9955

Sleep Apnea Titration Visit - CDT Code Guide

Sleep Apnea Services

Overview

CDT Code D9955 refers to a sleep apnea titration visit specifically for oral appliance therapy (OAT). This procedure involves adjusting and fine-tuning an oral appliance to ensure it effectively manages a patient's sleep apnea symptoms. Typically, this visit is crucial for patients who have been diagnosed with obstructive sleep apnea (OSA) and are using an oral appliance as part of their treatment plan. During the titration visit, dental professionals assess the fit and effectiveness of the appliance, making necessary adjustments to optimize the patient's airway during sleep. This code is essential for dental professionals involved in sleep medicine, as it ensures that the oral appliance is functioning correctly and providing the intended therapeutic benefits.

When to Use This Code

When a patient begins oral appliance therapy for sleep apnea and requires an initial titration visit.
During follow-up visits to adjust the oral appliance for improved efficacy.
When a patient reports discomfort or ineffectiveness of their current oral appliance.
For patients who have undergone significant weight changes affecting appliance fit.
In cases where the patient experiences changes in sleep apnea symptoms.

Documentation Requirements

Patient's diagnosis of obstructive sleep apnea.
Detailed notes on the initial fitting of the oral appliance.
Records of adjustments made during the titration visit.
Patient feedback on the appliance's comfort and effectiveness.
Any recommendations for further adjustments or follow-up visits.

Billing Considerations

Ensure that the patient's insurance covers oral appliance therapy for sleep apnea. Frequency limitations may apply, so verify the number of titration visits allowed per year. Common modifiers may include those indicating a new appliance or significant adjustments. Always check with the patient's insurance provider for specific coverage details.

Related CDT Codes

D9944 D9945 D9946 D9947 D9948

Frequently Asked Questions

A titration visit is conducted to adjust the oral appliance to ensure it effectively manages sleep apnea symptoms.

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