2025 HCPCS Code E0472

Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pressure device)

TAGS: device pressure invasive positive backup tracheostomy airway respiratory assist continuous
Short DescriptionRad w backup invasive intrfc
HCPCS Action Code N - No maintenance for this code
HCPCS Coverage Code D - Special coverage instructions apply
HCPCS Code Added Date January 01, 2004
HCPCS Action Effective Date April 01, 2006
HCPCS Pricing Indicator Code 36 - Capped rental DME (price subject to floors and ceilings)
HCPCS Type Of Service Code R - Rental of DME
HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
HCPCS Anesthesia Base Unit Quantity 0
HCPCS Coverage Issues Manual Reference Section Number 60-9

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