Table of content for "Rad w backup invasive intrfc" (HCPCS E0472)
General information on the “E0472” code
HCPCS Code: E0472
Long Description: 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)
Short Description: Rad w backup invasive intrfc
Original information is taken from E0472 page
Pricing indicators
Pricing Indicator Code 1: 36 – Capped rental 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
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: 20040101
Code Effective Date: 20060401
Action Code: N – No maintenance for this code