Multi-Function Oscillation Lung Expansion (OLE) Therapy - Medicare Advantage

This policy addresses multi-function oscillation lung expansion (OLE) therapy devices (e.g., Volara, BiWaze; HCPCS E0469 and miscellaneous DME E1399) used for lung expansion, airway clearance, high-frequency oscillation and nebulization. Although these devices are purported for home use to assess work of breathing and for clearing airway secretions in hospitalized patients, the policy states there are no covered indications—multi-function OLE therapy and over‑the‑counter airway clearance devices are considered not medically reasonable and necessary and are not covered, with coverage subject to Medicare/plan-specific medical necessity determinations.

"None. There are no covered indications; refer to Coverage Limitations Section."

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