Nebulizers

Nebulizers and related compressors/accessories are covered when reasonable and necessary to deliver specific FDA‑approved inhalation drugs for defined diagnoses (e.g., obstructive pulmonary disease, cystic fibrosis, bronchiectasis, pulmonary hypertension, HIV/pneumocystosis). Coverage is drug‑dependent (many J/Q codes specified), excludes compounded solutions and specified device/drug combinations, and requires required documentation (SWO/WOPD/POD, hemodynamic and imaging data for pulmonary hypertension drugs) and adherence to specified frequency and quantity limits for accessories and drug monthly quantities.

"Small-volume nebulizers (A7003, A7004, A7005) and related compressor E0570 are covered when used to administer FDA‑approved inhalation solutions (albuterol, arformoterol, budesonide, cromolyn, form..."

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