Question 1

What is HCPCS code E0555?

Accepted Answer

HCPCS code E0555 is "Humidifier for use w/ regula". Humidifier, durable, glass or autoclavable plastic bottle type, for use with regulator or flowmeter

Question 2

What category is E0555 in?

Accepted Answer

E0555 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E0555?

Accepted Answer

Use E0555 when billing for humidifier for use w/ regula. 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 E0555 covered by Medicare?

Accepted Answer

Coverage for E0555 (Humidifier for use w/ regula) 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 E0555?

Accepted Answer

Documentation for E0555 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).