Reimbursement information

Helpful hints for filing claims

DME HCPCS

 
CoughAssist® Device HCPCS Code E0482106k / pdf
BiPAP autoSV Advanced for Central and Complex Sleep Apnea and Periodic Breathing (E0470 and E0471)78k / pdf
Positive Airway Pressure (PAP) Devices and Related Accessories - E0601 and E0470 (updated 3/11)267k / pdf
DMERC Mask Replacement Clarification Letter872k / pdf
CPAP Systems: Strategies for Success in the Managed Care Environment (updated 1/99)677k / pdf
DME Maintenance, Repair, and Replacement (updated 2/11)94k / pdf
Nebulizer with Compressor E0570 (updated 3/11)110k / pdf
Oxygen and Oxygen Equipment (updated 10/11)183k / pdf
Peak Flow Meter and Spacers (updated 3/11)253k / pdf
Positive and Negative Pressure Ventilators (updated 2/11)98k / pdf
Respiratory Assist Devices (updated 3/2011)82k / pdf
Medicare Advance Beneficiary Notice (updated 2/11)86k / pdf

Polysomnography and Home Sleep Testing for Diagnosing OSA (2011)

105k / pdf
Home Sleep Testing Sleep Studies (2011)
91k / pdf
Oral Appliances for the Treatment of OSA (2011)96k / pdf
Miscellaneous HCPCS Code - E1399 (updated 3/11)102k / pdf

CPT HCPCS

 
Actigraphy Studies (updated 2/11)213k / pdf
Current Procedure Terminology (CPT) Coding (updated 3/11)149k / pdf
CPT - 88720 (BiliChek) (updated 3/11)84k / pdf
Encore Pro Software (updated 3/11)112k / pdf
Miscellaneous CPT (updated 7/09)231k / pdf
Threshold IMT/Threshold PEP (updated 03/11)288k / pdf
RAD Beneficiary Statement (Word document- updated 10/99)23k / doc
RAD Beneficiary Statement (Text document)2k / txt
Physician Documentation for Patients with OSA   (2011)84k/pdf
Physician RAD Statement of Compliance and Benefit (Word document)22k / doc
Physician RAD Statement of Compliance and Benefit (Text document)2k / txt
DMERC Prepayment Letter (updated 8/00)20k / pdf

Related Forms (Oximetry)

 
Overnight Pulse Oximetry with Fee Schedules (updated 2/02)37k / pdf
Pulmonary Stress Testing (updated 2/02)16k / pdf
AMA CPT Assistant (updated 1/99)163k / pdf

Coding Verification Letters

 
SleepEasy (includes humidifier) (Model 1043237) & SleepEasy Replacement Chamber Kit (Model 048988) (May 5, 2008)849 KB / pdf
SleepEasy (includes humidifier) (Model 1043237) (May 5, 2008)849 KB / pdf
ComfortFusion with Headgear DuoPack (March 25, 2007)447 KB / pdf
ComfortFusion with Headgear (March 25, 2007)434 KB / pdf
ComfortFusion Mask with Headgear FitPack (March 25, 2007)436 KB / pdf
ComfortFusion Mask without Headgear (March 25, 2007)428 KB / pdf
ComfortFusion Cushion and Ring (March 25, 2007)414 KB / pdf
Fusion Headgear (March 24, 2007)435 KB / pdf
ComfortFusion Mask without Headgear FitPack (March 21, 2007)461 KB / pdf
BiPAP AVAPS (November 1, 2007)550 KB / pdf
BiPAP AVAPS Core Package (November 1, 2007)582 KB / pdf
REMstar Auto M Series with A Flex with SmartCard (August 23, 2007)482 KB / pdf
REMstar Auto M Series with A Flex with SmartCard and Humidifier (August 23, 2007)486 KB / pdf
REMstar Auto M Series with A Flex with SmartCard and OptiLife Mask (August 23, 2007)523 KB / pdf
REMstar Auto M Series with A Flex with SmartCard and Humidifier and OptiLife Mask (August 23, 2007)561 KB / pdf
BiPAP auto SV with SmartCard (core package) 8/2/07663 KB / pdf
BiPAP autoSV with SmartCard (device only) 7/25/07527 KB / pdf
OptiLife Mask with Headgear (May 7, 2007)514 KB / pdf
Profile Lite Mask with Headgear (May 7, 2007)430 KB / pdf
ComfortGel Silicone Flap and Gel Cushion (2/6/07)95 KB / pdf
EverFlo Oxygen Concentrator (2/21/07)102 KB / pdf
EverGo Portable Oxygen Concentrator (11/20/06)514 KB / pdf
ComfortSelect Nasal Mask with Headgear (3/21/07)514 KB / pdf
ComfortClassic Nasal Mask with Headgear (4/3/07)514 KB / pdf
ComfortFull 2 Full Face Mask with Headgear (4/17/07)514 KB / pdf
Mini Plus Reusable High Efficiency Nebulizer (2007 January 7)1.31MB / pdf
Inspiration Elite Compressor Nebulizer System (2006 December 20)1.66MB /pdf
MiniElite Compressor Nebulizer System w/ Battery (2006 December 15)66KB
MiniElite Compressor Nebulizer Standard (2006 December 22)64KB
BiPAP Plus M Series w/ Bi-Flex (2006 December 21)75KB
BiPAP Auto M Series w/ Bi-Flex, w/ Smart Card & BiPAP Auto M Series w/ Bi-Flex, w/ Smart Card and Humidifier (2006 December 28)80KB
SleepLink and SmartCard HCPCS Code Letter160KB
REMstar M Series (2006 October 20)59k / pdf
I-neb AAD System (2006 July 13)293k / pdf
Remstar Pro M Series (2006 May 26)401k / pdf
Remstar Pro M Series (2006 May 26)401k / pdf
Remstar Plus M Series (2006 September 26)401k / pdf
Remstar Auto M Series with SmartCard (2006 May 26)401k / pdf
BIPAP S/T Ventilatory System (2006 May 26)401k / pdf
BiPAP Auto (2006 January 4)69k / pdf
REMstar Auto with C-Flex and REMstar Plus with C-Flex (2005 October 6)69k / pdf
REMstar Pro II with C-Flex (2005 September 9)69k / pdf
BiPAP Pro 2 w/ Bi-Flex Bi-Level System / BiPAP Plus Bi-Level System (2004 September 09)401k/pdf
Millenium M-10 Oxygen Concentrator (2004 May 24)341k / pdf
Comfort Gel Nasal Mask (2004 May 14)360k / pdf
Remstar Pro w/ C-Flex CPAP System (2004 February 02)395k / pdf
Ventstream Reusable High Efficiency Nebulizer (2002 July 23)212k / pdf
Tranquility Bilevel (2001 November 06)791k / pdf
REMstar Plus CPAP System (2001 September 18)294k / pdf
BiPAP Synchrony S and S/T Ventilatory Support Systems (2001 July 23)340k / pdf
Inspiration 626 Nebulizer (2000 May 01)182k / pdf
BiPAP Duet LX Bi-level System (1999 October 18)614k / pdf
Tranquility® Auto CPAP (1999 October 18)614k / pdf
Virtuoso LX Smart CPAP System (1999 October 18)614k / pdf
Aria LX CPAP System (1999 October 18)614k / pdf
Solo CPAP Systems (1999 October 18)614K / pdf
Oasis Humidifier (1999 October 18)614k / pdf
Virtuoso Smart CPAP System (1997 March 25)541k / pdf
Quantum PSV (1997 March 19)157k / pdf
MisterNeb Compressor Nebulizer System410k / pdf
Inspiration Elite Compressor Nebulizer System (July 28, 2005)368K / pdf

Canada ASP Numbers

 
Ontario Ministry of Health22k / pdf
 

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