Question 1

What is HCPCS code E0493?

Accepted Answer

HCPCS code E0493 is "Oral dv/app neuromus mouthpi". Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by phone application, 90-day supply

Question 2

What category is E0493 in?

Accepted Answer

E0493 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E0493?

Accepted Answer

Use E0493 when billing for oral dv/app neuromus mouthpi. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is E0493 covered by Medicare?

Accepted Answer

Coverage for E0493 (Oral dv/app neuromus mouthpi) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for E0493?

Accepted Answer

Documentation for E0493 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).