Nebulizers

Nebulizers and related compressors/accessories are covered when reasonable and necessary to administer specific FDA‑approved inhalation drugs to beneficiaries with listed respiratory conditions (e.g., obstructive pulmonary disease, cystic fibrosis, bronchiectasis, pulmonary hypertension) and when device‑drug pairings and diagnostic groups specified in the LCD are met. Compounded inhalation solutions, inappropriate device/drug combinations (e.g., E0574 with non‑treprostinil), unlicensed dispensing, unit‑dose duplicative billing, or exceeding defined accessory or drug monthly limits will be denied; suppliers must have required written orders, proof of delivery, and follow refill/contact timelines.

"Small volume nebulizer (A7003, A7004, A7005) and compressor E0570 are covered when reasonable and necessary to administer FDA‑approved inhalation solutions for management of obstructive pulmonary d..."