Question 1

What is HCPCS code E0469?

Accepted Answer

HCPCS code E0469 is "Lung expans high oscil neb". Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device

Question 2

What category is E0469 in?

Accepted Answer

E0469 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E0469?

Accepted Answer

Use E0469 when billing for lung expans high oscil neb. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is E0469 covered by Medicare?

Accepted Answer

Coverage for E0469 (Lung expans high oscil neb) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for E0469?

Accepted Answer

Documentation for E0469 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).