Showing codes E0461 (Volume control ventilator, without pressure support mode, may include pressure control mode, used with non-invasive interface (e.g., mask)) — E0562 (Humidifier, heated, used with positive airway pressure device)

E0461 - Vol control vent noninv int
Long description: Volume control ventilator, without pressure support mode, may include pressure control mode, used with non-invasive interface (e.g., mask)
Code added date: 20030101.
Code effective date: 20160101.
Pricing Indicator Code(s): 31 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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E0462 - Rocking bed w/ or w/o side r
Long description: Rocking bed with or without side rails
Code added date: 19900101.
Code effective date: 19960101.
Pricing Indicator Code(s): 36 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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E0463 - Press supp vent invasive int
Long description: Pressure support ventilator with volume control mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube)
Code added date: 20050101.
Code effective date: 20160101.
Pricing Indicator Code(s): 31 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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E0464 - Press supp vent noninv int
Long description: Pressure support ventilator with volume control mode, may include pressure control mode, used with non-invasive interface (e.g., mask)
Code added date: 20050101.
Code effective date: 20160101.
Pricing Indicator Code(s): 31 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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E0465 - Home vent invasive interface
Long description: Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)
Code added date: 20160101.
Code effective date: 20160101.
Pricing Indicator Code(s): 31 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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E0466 - Home vent non-invasive inter
Long description: Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)
Code added date: 20160101.
Code effective date: 20160101.
Pricing Indicator Code(s): 31 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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E0467 - Home vent multi-function
Long description: Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all accessories, components and supplies for all functions
Code added date: 20190101.
Code effective date: 20190101.
Pricing Indicator Code(s): 31 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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E0468 - Home vent dual fnct incl all
Long description: Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions
Code added date: 20240401.
Code effective date: 20240401.
Pricing Indicator Code(s): 31 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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E0469 - Lung expans high oscil neb
Long description: Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device
Code added date: 20241001.
Code effective date: 20241001.
Pricing Indicator Code(s): 36 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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E0470 - Rad w/o backup non-inv intfc
Long description: Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)
Code added date: 20040101.
Code effective date: 20040101.
Pricing Indicator Code(s): 36 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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E0471 - Rad w/backup non inv intrfc
Long description: Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)
Code added date: 20040101.
Code effective date: 20060401.
Pricing Indicator Code(s): 36 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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E0472 - Rad w backup invasive intrfc
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)
Code added date: 20040101.
Code effective date: 20060401.
Pricing Indicator Code(s): 36 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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E0480 - Percussor elect/pneum home m
Long description: Percussor, electric or pneumatic, home model
Code added date: 19860101.
Code effective date: 19960101.
Pricing Indicator Code(s): 36 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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E0481 - Intrpulmnry percuss vent sys
Long description: Intrapulmonary percussive ventilation system and related accessories
Code added date: 20020101.
Code effective date: 20020701.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: M (A code denoting Medicare coverage status).
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E0482 - Cough stimulating device
Long description: Cough stimulating device, alternating positive and negative airway pressure
Code added date: 20020101.
Code effective date: 20020101.
Pricing Indicator Code(s): 36 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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E0483 - Hi freq chest wall oscil sys
Long description: High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each
Code added date: 20030101.
Code effective date: 20221001.
Pricing Indicator Code(s): 36 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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E0484 - Non-elec oscillatory pep dvc
Long description: Oscillatory positive expiratory pressure device, non-electric, any type, each
Code added date: 20030101.
Code effective date: 20030101.
Pricing Indicator Code(s): 32 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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E0485 - Oral device/appliance prefab
Long description: Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, prefabricated, includes fitting and adjustment
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 32 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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E0486 - Oral device/appliance cusfab
Long description: Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment
Code added date: 20060101.
Code effective date: 20060101.
Pricing Indicator Code(s): 32 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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E0487 - Electronic spirometer
Long description: Spirometer, electronic, includes all accessories
Code added date: 20090101.
Code effective date: 20090101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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E0490 - Control unit nm hw remote
Long description: Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote
Code added date: 20231001.
Code effective date: 20231001.
Pricing Indicator Code(s): 36 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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E0491 - Oral dv nm mouthpc hw remote
Long description: Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by hardware remote, 90-day supply
Code added date: 20231001.
Code effective date: 20250101.
Pricing Indicator Code(s): 32 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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E0492 - Control unit nm stim w phone
Long description: Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by phone application
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: S (A code denoting Medicare coverage status).
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E0493 - Oral dv/app neuromus mouthpi
Long description: Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, used in conjunction with the power source and control electronics unit, controlled by phone application, 90-day supply
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s): 00 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: S (A code denoting Medicare coverage status).
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E0500 - Ippb all types
Long description: Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source
Code added date: 19860101.
Code effective date: 19860101.
Pricing Indicator Code(s): 31 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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E0530 - Electronic posa treatment
Long description: Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type
Code added date: 20240101.
Code effective date: 20240101.
Pricing Indicator Code(s): 36 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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E0550 - Humidif extens supple w ippb
Long description: Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery
Code added date: 19860101.
Code effective date: 20050701.
Pricing Indicator Code(s): 33 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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E0555 - Humidifier for use w/ regula
Long description: Humidifier, durable, glass or autoclavable plastic bottle type, for use with regulator or flowmeter
Code added date: 19860101.
Code effective date: 19960101.
Pricing Indicator Code(s): 33 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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E0560 - Humidifier supplemental w/ i
Long description: Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery
Code added date: 19860101.
Code effective date: 20050701.
Pricing Indicator Code(s): 33 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: D (A code denoting Medicare coverage status).
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E0561 - Humidifier nonheated w pap
Long description: Humidifier, non-heated, used with positive airway pressure device
Code added date: 20040101.
Code effective date: 20040101.
Pricing Indicator Code(s): 32 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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E0562 - Humidifier heated used w pap
Long description: Humidifier, heated, used with positive airway pressure device
Code added date: 20040101.
Code effective date: 20040101.
Pricing Indicator Code(s): 32 ; (Codes used to identify the appropriate methodology for developing unique pricing amounts under part B. A procedure may have one to four pricing codes.)
Coverage Code: C (A code denoting Medicare coverage status).
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