Question 1

What is HCPCS code E0471?

Accepted Answer

HCPCS code E0471 is "Rad w/backup non inv intrfc". Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)

Question 2

What category is E0471 in?

Accepted Answer

E0471 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E0471?

Accepted Answer

Use E0471 when billing for rad w/backup non inv intrfc. 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 E0471 covered by Medicare?

Accepted Answer

Coverage for E0471 (Rad w/backup non inv intrfc) 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 E0471?

Accepted Answer

Documentation for E0471 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).