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[CPAP] DME charges for modem part of Airsense
#11
RE: DME charges for modem part of Airsense
Most billing is by HCPCS code. Our wiki shows you the most of the codes http://www.apneaboard.com/wiki/index.php...6_Medicare Look for Durable Medical Equipment CPAP. As far as I know, it doensn't get down to the monitoring, but you can find different levels of positive air pressure, equipment,asks, cushions, headgear, tubes, etc. Your Resmes Airsense 10 Autost is E601 and it doesn't matter if its auto or fixed. The humidifier is E0562, and a few more. No modem, so that was bogus.


CPAP/BiPAP MACHINE INSURANCE (HCPCS) CODES:

E0601 Continuous airway pressure (CPAP/APAP) device
E0470 Respiratory assist device, bi-level pressure (BiPAP) capability, WITHOUT backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)
E0471 Respiratory assist device, bi-level pressure (BiPAP) capability, WITH backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)
E0472 Respiratory assist device, bi-level pressure (BiPAP) capability, WITH backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pressure device)
E0561 Humidifier, non-heated, used with positive airway pressure (CPAP/BiPAP/APAP) device
E0562 Humidifier, heated, used with positive airway pressure (CPAP/BiPAP/APAP) device

CPAP/BiPAP MASK INSURANCE (HCPCS) CODES:

A7030 Full Face Mask used with Positive Airway Pressure (CPAP/BiPAP/APAP) Device
A7034 Nasal interface (mask or cannula type) used with positive airway pressure (CPAP/BiPAP/APAP) device , with or without headstrap
A7044 Oral interface used with positive airway pressure (CPAP/BiPAP/APAP) device
K0553 Combination oral/nasal mask, used with continuous positive airway pressure device

CPAP/BiPAP PART & ACCESSORY INSURANCE (HCPCS) CODES:

A7032 Replacement Cushion for Nasal or Full Face Mask
A7033 Replacement Pillows for Nasal Mask
A7035 Headgear used with positive airway pressure device
A7036 Chinstrap used with positive airway pressure device
A7037 Tubing used with positive airway pressure device
A7038 Filter, disposable, used with positive airway pressure device
A7039 Filter, non-disposable (reusable), used with positive airway presssure device
A7045 Exhalation port with or without swivel used with accessories for positive airway pressure devices
A7046 Water chamber for humidifier, used with positive airway pressure device
A9900 or E1399 Miscellaneous Durable Medical Equipment Items, Components and Accessories
K0554 Oral cushion for combination oral/nasal mask
K0555 Nasal pillows for combination oral/nasal mask
Sleeprider
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#12
RE: DME charges for modem part of Airsense
I only have experience with getting DreamStations from my DMEs. And the DreamStation's modem is a removable component; so that is different from the ResMed which has a built-in modem. So I don't know if my story will be helpful to you.

And I don't use Medicare. So my story may really be unhelpful.

My first DME did charge for the modem, even though I told them I did not want the modem. I argued it. I pressed the issue. And there was no way around it with them.

I ended up being unhappy with that slimy DME, so I returned my rented machine to them and found a new DME. My new DME did not charge separately for the modem.

So my advice would be to call around to other DMEs, and see if you can find one that is reasonable.
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