CPAP Billing Codes

CPAP/Bi-PAP MACHINE INSURANCE (HCPC) CODES
E0601Continuous airway pressure (CPAP/APAP) device
E0470Respiratory assist device, bi-level pressure (Bi-PAP) capability, WITHOUT backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)
E0471Respiratory assist device, bi-level pressure (Bi-PAP) capability, WITH backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)
E0562Humidifier, heated, used with positive airway pressure (CPAP/Bi-PAP/APAP) device

 

CPAP/Bi-PAP MASK INSURANCE (HCPCS) CODES
A7030Full Face Mask used with Positive Airway Pressure (CPAP/Bi-PAP/APAP) Device
A7034Nasal interface (mask or cannula type) used with positive airway pressure (CPAP/Bi-PAP/APAP) device , with or without headstrap
A7044Oral interface used with positive airway pressure (CPAP/Bi-PAP/APAP) device
A7027Combination oral/nasal mask, used with continuous positive airway pressure device

 

CPAP/BiPAP PART & ACCESSORY INSURANCE (HCPCS) CODES
A7028Replacement Oral Cushion for Combination Oral / Nasal Mask
A7029Replacement Nasal Pillows Cushion for Combination Oral / Nasal Mask
A7031Replacement Cushion for Full Face Mask
A7032Replacement Cushion for Nasal Mask
A7033Replacement Pillows for Nasal Pillows or Cannula Style Mask
A7035Headgear used with positive airway pressure device
A7036Chinstrap used with positive airway pressure device
A7037Tubing used with positive airway pressure device
A4604Heated Tubing used with positive airway pressure device
A7038Filter, disposable, used with positive airway pressure device
A7039Filter, non-disposable (reusable), used with positive airway presssure device
A7046Water chamber for humidifier, used with positive airway pressure device
E1399Miscellaneous Durable Medical Equipment Items, Components and Accessories