CORRECT CODING – INTEGRATED RESPIRATORY PRODUCTS


Joint DME MAC Publication

The Durable Medical Equipment Medicare Administrative Contractors (DME MACs) have recently had multiple inquiries about the coding of products where multiple functions, each with a separate HCPCS code, are incorporated into a single product.  For example, there are positive airway pressure (PAP) and respiratory assist devices (RAD) that include integrated humidification.  The correct codes for the integrated product are code E0601 for the base CPAP device and code E0562 for the integrated humidification. The same principle applies to respiratory assist devices with integrated humidification. The correct codes for the integrated RAD products are code E0470 or E0471 for the base RAD device and code E0562 for the integrated humidification.

For questions about correct coding, contact the PDAC Contact Center at (877) 735-1326 during the hours of 8:30 a.m. to 4:00 p.m. CT, Monday through Friday, or e-mail the PDAC by completing the DME PDAC Contact Form.

 

Published by Noridian as the PDAC, December 2014.  Republished by Palmetto GBA as the PDAC, February 2019.  Please note that links in this document were accurate at the time of original publication and may change over time and are no longer active.



Last Updated: 12/29/2014