HCPCS E0468 Code. Home vent dual fnct incl all


Table of content for "Home vent dual fnct incl all" (HCPCS E0468)

General information on the “E0468” code

HCPCS Code: E0468
Long Description: Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions
Short Description: Home vent dual fnct incl all

Original information is taken from E0468 page

Pricing indicators

Pricing Indicator Code 1: 31 – Frequently serviced DME (price subject to floors and ceilings). Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology

Certification and additional reference information

Coverage Issues Manual Reference Section Number 1: 60-9

Coverage

Coverage: D – Special coverage instructions apply

Type of service

Processing Note Number: 0137
Berenson-Eggers Type of Service (BETOS): D1E – Other DME
Type Of Service 1: R – Rental of DME

Misc information

Anesthesia Base Unit Quantity: 0
Code Added Date: 20240401
Code Effective Date: 20240401
Action Code: N – No maintenance for this code