HCPCS INSURANCE CODES* & PRESCRIPTION ITEMS

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Each year, in the United States, health care insurers process over 5 billion claims for payment. For Medicare and other health insurance programs to ensure that these claims are processed in an orderly and consistent manner, standardized coding systems are essential. The HCPCS Code Set is one of the standard code sets used for this purpose.

Many insurers require that HCPCS codes be included with any claim for medical devices, supplies or equipment. At DirectHomeMedical we include the appropriate HCPCS codes for each item on every customer invoice to make submitting insurance claims as quick and easy as possible.

The items we sell at DirectHomeMedical fall primarily into the Positive Airway Pressure Device categories listed below.
  • Email: help@mycpap.com
  • Toll Free Number: 877-455-3084
  • Office Hours: 9-5 M-F Eastern

CPAP/BiPAP MACHINE INSURANCE (HCPCS) CODES

E0601 Continuous airway pressure (CPAP/APAP) device
E0470 Respiratory assist device, bi-level pressure (BiPAP) capability, WITHOUT backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)
E0471 Respiratory assist device, bi-level pressure (BiPAP) capability, WITH backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)
E0472 Respiratory assist device, bi-level pressure (BiPAP) capability, WITH backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pressure device)
E0561 Humidifier, non-heated, used with positive airway pressure (CPAP/BiPAP/APAP) device
E0562 Humidifier, heated, used with positive airway pressure (CPAP/BiPAP/APAP) device

CPAP/BiPAP MASK INSURANCE (HCPCS) CODES

A7030 Full Face Mask used with Positive Airway Pressure (CPAP/BiPAP/APAP) Device
A7034 Nasal interface (mask or cannula type) used with positive airway pressure (CPAP/BiPAP/APAP) device , with or without headstrap
A7044 Oral interface used with positive airway pressure (CPAP/BiPAP/APAP) device
K0553 Combination oral/nasal mask, used with continuous positive airway pressure device

CPAP/BiPAP PART & ACCESSORY INSURANCE (HCPCS) CODES

A7032 Replacement Cushion for Nasal or Full Face Mask
A7033 Replacement Pillows for Nasal Mask
A7035 Headgear used with positive airway pressure device
A7036 Chinstrap used with positive airway pressure device
A7037 Tubing used with positive airway pressure device
A7038 Filter, disposable, used with positive airway pressure device
A7039 Filter, non-disposable (reusable), used with positive airway presssure device
A7045 Exhalation port with or without swivel used with accessories for positive airway pressure devices
A7046 Water chamber for humidifier, used with positive airway pressure device
A9900 or E1399 Miscellaneous Durable Medical Equipment Items, Components and Accessories
K0554 Oral cushion for combination oral/nasal mask
K0555 Nasal pillows for combination oral/nasal mask


ABOUT THE PRESCRIPTION ITEMS WE SELL

Purchase of CPAP and BiPAP Systems requires a physician's prescription. If you are purchasing one of these items, e-mail it to us at care@mycpap.com.

No Exceptions can be made to this policy, but if you have questions please e-mail us.

If you are purchasing a ResMed product and a prescription is required we will verify, prior to the completion of sale, the prescription by a physician licensed to practice in the United States. As an approved ResMed Preferred Internet Provider, MyCPAP.COM is committed to selling authentic, unadulterated ResMed products and to providing professional service for therapy usage and ongoing compliance. ResMed and MyCPAP.COM are committed to providing high-quality care with the shared goal of improving patient outcomes. All products purchased from a ResMed Preferred Internet Provider come with the manufacturer's standard warranty.