Standard HCPCS Insurance Codes for CPAP/BiPAP Supplies

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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.

One of the ways we keep overhead low and our prices down is by working directly with consumers rather than with HMOs, Medicare/Medicaid, and insurance companies. Having said that most companies will accept our itemized receipts for reimbursement purposes and we do provide standard insurance product codes (HCPCS), our business information, and Federal Tax ID directly on each receipt.

If you want to be certain that an order placed through our company will be accepted for reimbursement you should check directly with your healthcare provider to ensure that you know what requirements they have for a successful claim.

The items we sell at cpapXchange fall primarily into the Positive Airway Pressure Device categories shown here.

Note: These codes are provided for your reference only and should be verified with your insurer to ensure accuracy. To learn more about HCPCS codes visit the Centers for Medicare & Medicaid Services website.

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
A7027 - Combination oral/nasal mask, used with continuous positive airway pressure device

CPAP/BiPAP PART & ACCESSORY INSURANCE (HCPCS) CODES

A7028 - Oral cushion for combination oral/nasal mask
A7029 - Nasal pillows for combination oral/nasal mask
A7031 - Replacement Cushion for Full Face Mask
A7032 - Replacement Cushion for Nasal 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
A4604 - Heated 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
E1399 - Miscellaneous Durable Medical Equipment Items, Components and Accessories