Customer Service

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