HCPCS Codes for Insurance Reimbursement
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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