Mechanical In-exsufflation Devices

Medicare covers mechanical in-exsufflation devices (HCPCS E0482) only when the beneficiary has a neuromuscular disease (ICD-10 per the LCD-related Policy Article) and that condition causes significant chest wall and/or diaphragmatic impairment resulting in inability to clear retained secretions. Coverage requires prior documentation including a Standard Written Order (SWO) or, where applicable, a signed Written Order Prior to Delivery (WOPD), adherence to coding guidelines, and maintenance of Proof of Delivery and supporting medical records; failure to meet these requirements will result in claim denial.

"Beneficiary has a diagnosis of a neuromuscular disease (see LCD-related Policy Article for applicable ICD-10 codes)."

Sign up to see full coverage criteria, indications, and limitations.