CPAP Billing Codes

CPAP/Bi-PAP MACHINE INSURANCE (HCPC) CODES
E0601 Continuous airway pressure (CPAP/APAP) device
E0470 Respiratory 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)
E0471 Respiratory 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)
E0562 Humidifier, heated, used with positive airway pressure (CPAP/Bi-PAP/APAP) device

 

CPAP/Bi-PAP MASK INSURANCE (HCPCS) CODES
A7030 Full Face Mask used with Positive Airway Pressure (CPAP/Bi-PAP/APAP) Device
A7034 Nasal interface (mask or cannula type) used with positive airway pressure (CPAP/Bi-PAP/APAP) device , with or without headstrap
A7044 Oral interface used with positive airway pressure (CPAP/Bi-PAP/APAP) device
A7027 Combination oral/nasal mask, used with continuous positive airway pressure device

 

CPAP/BiPAP PART & ACCESSORY INSURANCE (HCPCS) CODES
A7028 Replacement Oral Cushion for Combination Oral / Nasal Mask
A7029 Replacement Nasal Pillows Cushion for Combination Oral / Nasal Mask
A7031 Replacement Cushion for Full Face Mask
A7032 Replacement Cushion for Nasal Mask
A7033 Replacement Pillows for Nasal Pillows or Cannula Style 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
A7046 Water chamber for humidifier, used with positive airway pressure device
E1399 Miscellaneous Durable Medical Equipment Items, Components and Accessories