What is HCPC code E0466?
HOME VENTILATOR
E0466 – HOME VENTILATOR, ANY TYPE, USED WITH NON-INVASIVE INTERFACE, (E.G., MASK, CHEST SHELL)
Is E0466 covered by Medicare?
Thus, using the HCPCS codes for CPAP (E0601) or bi-level PAP (E0470, E0471) devices for a ventilator (E0465, E0466) used to provide CPAP or bi-level PAP therapy is incorrect coding. Medicare will not continue coverage for the fourth and succeeding months of therapy until this re-evaluation has been completed.
What is the HCPCS code for ventilators?
HCPCS Coding
| Code | Narrative |
|---|---|
| E0465 | HOME VENTILATOR, ANY TYPE, USED WITH INVASIVE INTERFACE, (E.G., TRACHEOSTOMY TUBE) |
| E0466 | HOME VENTILATOR, ANY TYPE, USED WITH NON-INVASIVE INTERFACE, (E.G., MASK, CHEST SHELL) |
What is E0465?
Long Description: HOME VENTILATOR, ANY TYPE, USED WITH INVASIVE INTERFACE, (E.G., TRACHEOSTOMY TUBE)
Does Medicare cover E0470?
Beneficiaries covered for the first three months of an E0470 or an E0471 device must be re-evaluated to establish the medical necessity of continued coverage by Medicare beyond the first three months. This would constitute reason for Medicare to deny continued coverage as not reasonable and necessary.
What is modifier 76 medical billing?
Modifier 76 is used to report a repeat procedure or service by the same physician and is appended to the procedure to report: Repeat procedures performed on the same day. Indicate that a procedure or service was repeated subsequent to the original procedure or service.
Does CPT code 94010 need a modifier?
A provider billed CPT code 94010 (Breathing capacity test) with no modifier for date of service.
What is the CPT code for BiPAP?
94660
Understand that CPT code 94660 may be used for the initiation and subsequent management of CPAP or BiPAP.
