Multi-Function Oscillation Lung Expansion Therapy - MEDICAID - SOUTH CAROLINA

This policy addresses coverage for multi‑function oscillation lung expansion (OLE) therapy devices — specifically the Volara system (HCPCS E0469) and miscellaneous DME (E1399) — for airway/lung secretion clearance and oscillation‑based lung expansion. It applies to hospitalized patients for secretion clearance and to patients prescribed daily home OLE therapy, but notes that current literature and guidelines are insufficient to establish these services as standard medical treatment, codes are informational only, and additional documentation or prior authorization may be required.

"There are no covered indications; refer to Coverage Limitations Section."

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