High Frequency Chest Wall Oscillation Devices

High-frequency chest wall oscillation devices (HCPCS E0483) are covered when the beneficiary has cystic fibrosis, CT-confirmed bronchiectasis meeting specified symptom thresholds, or an approved neuromuscular diagnosis, and there is documented failure of standard airway-clearance treatments. Coverage is denied for COPD/chronic bronchitis without confirmed bronchiectasis, concurrent use with mechanical in-exsufflation (E0482), lack of required written orders (SWO/WOPD), absence of proof of delivery, or failure to meet coding/documentation requirements; replacement supplies (A7025/A7026) are covered only if base-device criteria are met.

"HFCWO device (HCPCS E0483) is covered only when the beneficiary meets at least one qualifying diagnosis (cystic fibrosis, confirmed bronchiectasis, or a listed neuromuscular disease) AND there is w..."

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