Multi-Function Oscillation Lung Expansion Therapy - MEDICAID - VIRGINIA

This policy concerns multi-function oscillation lung expansion (OLE) therapy devices — including E0469-type devices — intended for airway clearance, continuous high-frequency oscillation, nebulization/drug delivery, and lung expansion. For Humana Medicaid (Virginia) members there are no covered indications: multi-function OLE and over-the-counter airway clearance devices (e.g., BiWaze Clear System, Volara, Acapella, Aerobika, TheraPEP) are not covered, the services are considered not reasonable and necessary due to insufficient evidence, and any codes listed are informational only.

"Examples of combination/multi-function devices called out (and thus not eligible) include BiWaze Clear System and Volara."

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