What is an E0470 device?
E0470 – RESPIRATORY ASSIST DEVICE, BI-LEVEL PRESSURE CAPABILITY, WITHOUT BACKUP RATE. FEATURE, USED WITH NONINVASIVE INTERFACE, E.G., NASAL OR FACIAL MASK (INTERMITTENT. ASSIST DEVICE WITH CONTINUOUS POSITIVE AIRWAY PRESSURE DEVICE)
What are respiratory assist devices?
Respiratory assist devices include devices intended to help patients in need of support for breathing, removal of carbon dioxide, and therapy to reduce disuse atrophy of abdominal wall muscles.
Does Medicare cover E0470?
The E0470 (Respiratory Assist Device, bi-level pressure capability, without backup rate feature) can be covered by Medicare for patients with a diagnosis of obstructive sleep apnea (OSA).
Is E0466 covered by Medicare?
Thus, using the HCPCS codes for CPAP (E0601) or bi-level PAP (E0470, E0471) devices for a ventilator (E0465, E0466) used to provide CPAP or bi-level PAP therapy is incorrect coding. Medicare will not continue coverage for the fourth and succeeding months of therapy until this re-evaluation has been completed.
What is CPT E0601?
E0601. CONTINUOUS POSITIVE AIRWAY PRESSURE (CPAP) DEVICE.
Does Medicare pay for ventilators?
Medicare pays for home ventilators under the category of durable medical equipment (DME) items that require frequent and substantial servicing to avoid risk to the patient’s health. 22 Medicare makes monthly rental payments for this category of DME as long as medical necessity and Part B coverage remain.
Does Medicare cover repair or maintenance for ventilators?
Q: Does Medicare cover repairs or maintenance for ventilators? Ventilators fall into the FSS payment category, and neither repairs nor maintenance and servicing are covered during rental period. Since ventilators are covered under the FSS payment category, bills for supplies and accessories are not separately covered.
What is CPT code E0466?
HOME VENTILATOR
E0466 – HOME VENTILATOR, ANY TYPE, USED WITH NON-INVASIVE INTERFACE, (E.G., MASK, CHEST SHELL)
What is a BiPAP device?
It is commonly known as “BiPap” or “BPap.” It is a type of ventilator—a device that helps with breathing. During normal breathing, your lungs expand when you breathe in. This is caused by the diaphragm, which is the main muscle of breathing in your chest, going in a downward direction.