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Need CPT codes for CPAP repair parts & labor
#1
Need CPT codes for CPAP repair parts & labor
The DME vendor wouldn't repair my ResMed AirSense 10 AutoSet CPAP when it broke, and referred me to an authorized repair service.  They repaired it, but wouldn't deal with insurance.  Doctor's office (including the billing department) has no idea what the correct CPT codes are for parts & labor.  Insurance won't process claim without the CPT codes.  CPT codes needed for:
  • Pneumatic Block Assembly
  • Filter – Hypoallergenic
  • Air10 Chassis Inlet Seal
  • Air10 Air Outlet
  • Labor
If anyone can offer tips on how to chase down the CPT codes, I'd appreciate it.  Thanks.
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#2
RE: Need CPT codes for CPAP repair parts & labor
I may be wrong, but I don't believe insurance pays for repairs on Cpap machines.

Was the Cpap still under warranty? If it was, then your DME should have taken care of that, not by repairing, but sending it back to ResMed for replacement.
OpalRose
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#3
RE: Need CPT codes for CPAP repair parts & labor
It was out of warranty.  My insurance covers CPAP repairs.
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#4
RE: Need CPT codes for CPAP repair parts & labor
I'd suggest contacting a customer representative for your insurance company and ask them. They should access to the codes that they pay for.
Crimson Nape
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#5
RE: Need CPT codes for CPAP repair parts & labor
(09-29-2021, 03:16 PM)Crimson Nape Wrote: I'd suggest contacting a customer representative for your insurance company and ask them.  They should access to the codes that they pay for.

Unfortunately, the insurance company is insisting that the codes come from the doctor's office or the repair place, in writing.  They won't tell me what they are.  Neither the doctor nor the repair place have the CPT codes.
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