HCPCS Codes for Insurance Reimbursement

Below is a quick list of HCPCS codes for insurance reimbursement. Please see other articles in our Learning database for more information on insurance and how to file for reimbursement.
  • A7034 is CPAP Nasal mask
  • A7032 is CPAP Nasal mask cushion
  • A7033 is CPAP Nasal pillows
  • A7030 is CPAP Full Face mask
  • A7031 is CPAP Full Face mask cushion
  • A7044 is CPAP Oral Interface
  • A7027 is CPAP Hybrid mask
  • A7028 is CPAP Hybrid mask cushion
  • A7029 is CPAP Hybrid mask nasal pillow
  • A7046 is CPAP Humidifier Chamber
  • A7037 is CPAP tubing, long and short hoses
  • A4604 is CPAP Heated tubing
  • A7038 is CPAP disposable filter
  • A7039 is CPAP gross particle (foam) filter
  • A7035 is CPAP headgear
  • A7036 is CPAP chinstrap
  • E0561 NU is CPAP Passover Humidifier
  • E0562 NU is CPAP Heated Humidifier
  • E0470 RR is BiPAP rental
  • E0470 NU is BiPAP purchase
  • E0471 RR is BiPAP-ST rental
  • E0471 NU is BiPAP-ST purchase
  • EO601 RR is CPAP rental
  • E0601 NU is CPAP purchase

Typical Medicare Replacement Schedule for CPAP Equipment
  • CPAP Mask - 1 every 90 days
  • CPAP Mask Cushion - 1 every 30 days
  • CPAP Nasal Pillows - 2 pairs every 30 days
  • Tubing - 1 every 90 days
  • Headgear - 1 every 180 days
  • Non-diposable filters - 2 every 180 days
  • Disposable filters - 2 every 30 days
  • CPAP/APAP/BiPAP machines - Varies
  • ResMed CPAP Supplies
  • Respironics CPAP Supplies
  • DeVilbiss CPAP Supplies
  • Fisher Paykel CPAP Supplies
  • Circadiance CPAP Supplies
  • SleepNet CPAP Supplies
  • CareFusion CPAP Supplies
  • Member of the American Academy of Sleep Medicine
  • Member of the American Sleep Apnea Association
  • Member of the Virginia Academy of Sleep Medicine
  • Member of the Chesterfield VA Chamber of Commerce
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