Respiratory Question for the Week of February 20, 2017

Question:

Can you provide guidance on use of the new K code for CPAPs?

Answer:

Effective April 1, 2017, the Centers for Medicare & Medicaid Services (CMS) will establish a new “K” code for the continuous positive airway pressure (CPAP) device bundle, which includes the CPAP device and all accessories. These are subject to the durable medical equipment, prosthetic, orthotic and supplies (DMEPOS) competitive bidding program in specified competitive bidding areas. The addition of the code will allow the DME MACs to correctly adjudicate claims, according to CMS.

 

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