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What Are HCPCS Codes For CPAP?

Jan 16, 2023

Every medical supply or management services has an associated billing code or HCPCS code. HCPCS (Healthcare Common Procedure Coding System), which is essentially the same as CPT (Current Procedural Terminology) codes, are used by government healthcare providers. “billing codes” are often used to describe the CPT or HCPCS codes.

Health insurers in the US handle more than 5 billion claims for payment each year. Standardized coding methods are necessary for Medicare and other health insurance plans to guarantee that these claims are handled orderly and uniformly. One of the standard code sets is the HCPCS Code Set.

Discover below the specific HCPCS codes we created for the goods and services provided in health care delivery.

HCPCS Reference Codes For CPAP And Respiratory Equipment

HCPCS Reference Codes For CPAP And Respiratory Equipment

HCPCS reference codes serve to identify medical services and supplies for billing. The usage of CPAP (Continuous Positive Airway Pressure) and respiratory-related equipment is associated with unique codes known as HCPCS reference codes for CPAP and respiratory equipment. These codes are used to charge for the CPAP for obstructive sleep apnea and other sleep disorders and respiratory treatment-related equipment, services, and supplies.

When filing claims to insurance companies for payment of services and supplies associated with the use of these therapies, medical professionals utilize them. For timely and correct invoicing of services and supplies related to CPAP and respiratory treatments, HCPCS reference codes for CPAP and respiratory equipment are required.

HCPCS Codes For BiPAP/CPAP Machine Coverage

Below is the list of HCPCS codes For BiPAP/CPAP Machine Coverage

HCPCS CODE: E0601

Equipment for continuous airway pressure (APAP/CPAP)

HCPCS CODE: E0470

Bi-level positive airway pressure (BiPAP) capable respiratory assist device, without backup rate feature, utilized with a non-invasive interface, such as a nasal or facial mask (intermittent assist device with continuous positive airway pressure (CPAP) device)

HCPCS CODE: E0471

Intermittent support equipment with continuous positive airway pressure devices, respiratory assist device with bi-level positive airway pressure (BiPAP) capacity, WITH backup rate function, utilized with a noninvasive interface, such as a nasal or facial mask

HCPCS CODE: E0472

When utilized with an invasive interface, such as a tracheostomy tube, a respiratory aid device with bi-level positive airway pressure (BiPAP) capabilities, WITH a backup rate function, is employed.

HCPCS CODE: E0561

When used with positive airway pressure (CPAP, BiPAP, APAP) equipment, a non-heated humidifier

HCPCS CODE: E0562

A heated humidifier is employed with positive airway pressure (BiPAP, APAP, CPAP) equipment.

HCPCS Codes For BiPAP/CPAP Mask Coverage 

Below are the list of HCPCS codes For BiPAP/CPAP Mask Coverage 

HCPCS CODE: A7030

Positive Airway Pressure (BiPAP, APAP, CPAP) equipment with a Full Face Mask

HCPCS CODE: A7034

With or without a head strap, a nasal interface (mask or cannula type) is used with positive airway pressure (CPAP/BiPAP/APAP) equipment.

HCPCS CODE: A7044

Oral interface for positive airway pressure (CPAP, BiPAP, APAP) equipment

HCPCS CODE: A7027

Combining oral/nasal mask used in conjunction with continuous positive airway pressure device.

Part & Accessory Insurance For BiPAP/CPAP (HCPCS) Codes

Below is the list of HCPCS codes For BiPAP/CPAP (HCPCS) Codes 

HCPCS CODE: A7028

Oral Cushion Replacement for Oral/Nasal Mask Combination

HCPCS CODE: A7029

Nasal Pillow Cushion Replacement for Oral and Nasal Mask

HCPCS CODE: A7031

An additional cushion for a full-face mask

HCPCS CODE: A7032

Nasal mask cushion replacement

HCPCS CODE: A7033

Replacement Pillows for Cannula Style Mask or Nasal Pillows

HCPCS CODE: A7035

Headgear used with a positive pressure ventilation system

HCPCS CODE: A7036

Chinstraps work in tandem with positive airway pressure apparatus.

HCPCS CODE: A7037

Tubing used in conjunction with a positive airway pressure equipment

HCPCS CODE: A4604

With a positive airway pressure device, heated tubing is utilized.

HCPCS CODE: A7038

Disposable filter used in conjunction with a positive airway pressure equipment

HCPCS CODE: A7039

Filter used in conjunction with a positive airway pressure device that is not disposable

HCPCS CODE: A7045

Positive airway pressure device attachments may include an exhalation port with or without a swivel.

HCPCS CODE: A7046

Use of a humidifier’s water chamber with a positive pressure ventilation system

HCPCS CODE: E1399

Items, Components, and Accessories of Various Durable Medical Equipment

HCPCS Codes For Nebulizer And Compressor Coverage

Below is the list of HCPCS codes For Nebulizer And Compressor Coverage

HCPCS CODE: E0570

Combined compressor and nebulizer

HCPCS CODE: A7005

Non-disposable administration equipment with a small capacity, nonfiltered pneumatic nebulizer

HCPCS CODE: A7004

Disposable small-volume nonfiltered pneumatic nebulizer

HCPCS CODE: A7003

Disposable administration set with a small-volume, nonfiltered pneumatic nebulizer

HCPCS CODE: A7015

Using an aerosol mask with a DME nebulizer

HCPCS CODE: A7014

Non-disposable filter used with an ultrasonic generator or an aerosol compressor

HCPCS CODE: A7013

Disposable filter for use with an ultrasonic generator or an aerosol compressor

HCPCS CODE: A4627

Chamber for use with metered dose inhaler, with or without a mask

HCPCS Codes For Light Therapy Equipment Coverage

Below is the list of HCPCS code For Light Therapy Equipment Coverage

HCPCS CODE: E0203

Device for light treatment

HCPCS Codes For Oxygen Concentrators & Supplies Coverage

Below is the list of HCPCS codes For Oxygen Concentrators & Supplies Coverage

HCPCS CODE: E1356

Battery pack and an oxygen attachment

HCPCS CODE: E1357

Accessory for oxygenation, battery charger

HCPCS CODE: E1358

Accessory for oxygen, DC power adapter

HCPCS CODE: E1390

Single-port oxygen concentrators can supply 85 percent or greater oxygen concentration at the specified flow rate.

HCPCS CODE: E1392

Oxygen concentrator that is accessible

HCPCS CODE: E0445

Oximeter for non-invasively monitoring blood oxygen levels

HCPCS CODE: A4615

Nasal Oxygen Cannula

HCPCS CODE: A4616

Supply tubes for oxygen

Note:

These codes are solely for reference; you should confirm their correctness with your insurer. Rules and processes for filing successful claims vary across insurers. Please get in touch with your healthcare provider to determine the steps you need to take to make a successful claim. Visit the Centers for Medicare & Medicaid Services to learn more about HCPCS codes. If you want to learn about ICD codes, you can visit the World Health Organization.

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