Intrapulmonary Percussive Ventilation System

Medicare does not consider intrapulmonary percussive ventilators (HCPCS E0481) reasonable and necessary for home use and will deny such claims. Coverage for any DMEPOS item requires that it be in a Medicare benefit category, be reasonable and necessary, meet all statutory/regulatory requirements, and comply with documentation rules (SWO/WOPD, POD) and coding guidelines; failure to meet these requirements will result in denial.

"An item is covered only if it is in a defined Medicare benefit category, is reasonable and necessary for diagnosis/treatment or to improve function of a malformed body member, and meets all other a..."

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