Common HCPCS Insurance Codes for Sleep Therapy & Oxygen Supplies

Each year, in the United States, health care insurers process over 5 billion claims for payment. For Medicare and other health insurance programs to ensure that these claims are processed in an orderly and consistent manner, standardized coding systems are essential. The HCPCS Code Set is one of the standard code sets used for this purpose. The items we sell at DirectHomeMedical fall primarily into the Positive Airway Pressure & Oxygen Therapy Device categories listed below.

Many insurers require that HCPCS codes be included with any claim for medical devices, supplies or equipment. At DirectHomeMedical we do not work directly with insurance companies; however we do include the appropriate HCPCS codes for each item on every customer invoice to make submitting insurance claims as quick and easy as possible.

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
A7027	Combination oral/nasal mask, used with continuous positive airway pressure device

CPAP/BiPAP PART & ACCESSORY INSURANCE (HCPCS) CODES
A7028	Replacement Oral Cushion for Combination Oral / Nasal Mask
A7029	Replacement Nasal Pillows Cushion for Combination Oral / Nasal Mask
A7031	Replacement Cushion for Full Face Mask
A7032	Replacement Cushion for Nasal Mask
A7033	Replacement Pillows for Nasal Pillows or Cannula Style 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
A4604	Heated 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
E1399	Miscellaneous Durable Medical Equipment Items, Components and Accessories

NEBULIZER & COMPRESSOR INSURANCE (HCPCS) CODES
E0570	Nebulizer, with compressor
E0571	Aerosol compressor, battery powered, for use with small volume nebulizer
A7005	Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable
A7004	Small volume nonfiltered pneumatic nebulizer, disposable
A7003	Administration set, with small volume nonfiltered pneumatic nebulizer, disposable
A7015	Aerosol mask, used with dme nebulizer
A7014	Filter, nondisposable, used with aerosol compressor or ultrasonic generator
A7013	Filter, disposable, used with aerosol compressor or ultrasonic generator
A4627	Chamber, with or without mask, for use with metered dose inhaler

LIGHT THERAPY DEVICE INSURANCE (HCPCS) CODES
E0203	Light Therapy Device

OXYGEN CONCENTRATORS & SUPPLIES INSURANCE (HCPCS) CODES
E1356	Oxygen accessory, Battery pack
E1357	Oxygen accessory, Battery charger
E1358	Oxygen accessory, DC Power Adapter
E1390	Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate
E1392	Portable oxygen concentrator
E0445	Oximeter device for measuring blood oxygen levels non-invasively
A4615	Oxygen nasal cannula
A4616	Oxygen supply tubing

These codes are provided for your reference only and should be verified with your insurer to ensure accuracy. Different insurers have different rules and procedures for making successful claims. Please contact your insurer directly to determine which procedures you should follow to ensure a successful claim. To learn more about HCPCS codes visit the Centers for Medicare & Medicaid Services.