HCPCS Code Section: HCPCS A Codes

Dome and mouthpiece, used with small volume ultrasonic nebulizer Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2000 Effective Date: January 1, …

Chinstrap used with positive airway pressure device Short Description: Pos airway press chinstrap Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2003 …

Headgear used with positive airway pressure device Short Description: Pos airway press headgear Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, 2003 …

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap Short Description: Nasal application device Coverage Code: Carrier judgment Action Code: No …

Pillow for use on nasal cannula type interface, replacement only, pair Short Description: Replacement nasal pillows Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

Cushion for use on nasal mask interface, replacement only, each Short Description: Replacement nasal cushion Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …

Face mask interface, replacement for full face mask, each Short Description: Replacement facemask interfa Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January 1, …

Full face mask used with positive airway pressure device, each Short Description: Cpap full face mask Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: …

Exhalation port with or without swivel used with accessories for positive airway devices, replacement only Short Description: Repl exhalation port for pap Coverage Code: Special coverage instructions apply Action …

Tracheostomy/laryngectomy tube, stainless steel or equal (sterilizable and reusable), each Short Description: Trach/laryn tube stainless Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …