Reimbursement Support

Get assistance with funding your eXciteOSA.

Effective April 1, 2022 the following HCPCS codes have been validated for the eXciteOSA products.

Product Name
Model Number
HCPCS Code
EXCITEOSA STARTER KIT 13010 K1028+K1029
EXCITEOSA MOUTHPIECE 16000 K1029
EXCITEOSA CONTROL UNIT 17000 K1028

Please have your DME supplier contact your health insurance company to verify coverage requirements and estimated out of pocket costs.

For direct reimbursement assistance, please use the Support Tools below.

Need help?  For any questions, please contact 844-MILDOSA or https://signifiermedical.com/contact/.

Commercial Payer Patients

Here you’ll find a complete set of resources dedicated to eXciteOSA® submissions to Commercial Payers.

 

View Downloads

Medicare Patients

Please use these templated materials and letters of medical necessity and appeals for Medicare

 

View Downloads

Medicaid Patients

Please use these templated materials and letters of medical necessity and appeals for Medicaid

 

View Downloads

Commercial Documentation Checklist for DME suppliers and physicians

Download

Payer Summary Reference

Download

Patient Reimbursement Guide for eXciteOSA

Download

Medicare Documentation Checklist for Physicians

Download

Medicare Documentation Checklist for DME suppliers

Download

Payer Summary Reference

Download

Patient Reimbursement Guide for eXciteOSA

Download

Payer Summary Reference

Download

Patient Reimbursement Guide for eXciteOSA

Download