E0486 – Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment

HCPCS Level II code · E codes: Durable Medical Equipment (DME)

Active code Carrier judgment

HCPCS codeE0486
Long description
Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment
Short description
Oral device/appliance cusfab
Pricing indicator
32 DME – inexpensive & routinely purchased
Medicare coverage
C Carrier judgment – coverage decided by the Medicare contractor
BETOS category
D1E Other DME
Added
January 1, 2006
Last change
January 1, 2006 – No change

Frequently asked questions

What is HCPCS code E0486?

E0486 is a HCPCS Level II code for oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment.

Does Medicare cover E0486?

The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby E codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.