Standard HCPCS Insurance Codes for CPAP/BiPAP Supplies

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

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