A4604 - Heated tubing for sleep apnea machines
Healthcare Common Procedure Coding System
What is a HCPCS Code?
HCPCS (Healthcare Common Procedure Coding System) codes are used to identify medical procedures, supplies, and services for billing purposes. These codes help standardize how healthcare services are reported and billed across different providers and insurance companies.
Detailed Description
This is specialized tubing that has a built-in heating element designed to work with positive airway pressure (PAP) devices, commonly used to treat sleep apnea. The heating element helps prevent condensation from forming inside the tubing by keeping the air warm as it travels from the machine to your mask. This heated tubing helps maintain comfortable humidity levels and prevents water droplets from collecting in the tube, which can disrupt your sleep therapy.
Additional Information
This is a replacement supply item for PAP therapy equipment. The heated tubing is designed to work specifically with PAP machines that have heating and humidification features. Regular replacement helps maintain optimal therapy effectiveness and hygiene.
Category
Durable Medical Equipment (DME) - Respiratory Supplies
Medical Specialty
Sleep Medicine/Pulmonology
Expected Costs
We expect this to normally be in the range of:
$50 - $150
This is an estimate based on typical billing patterns. Your actual cost may vary depending on your insurance coverage, provider location, and specific circumstances.
What's Required Before This
- Prescription for PAP therapy
- Compatible PAP device with heating capability
What to Expect After
- Regular cleaning and maintenance
- Periodic replacement as recommended by manufacturer
- Monitor for wear or damage
Why Understanding This Code Matters
On Your Medical Bill
This code appears on your medical bills to identify the specific service, procedure, drug, or medical diagnosis you received. Understanding what it means helps you verify you're being charged correctly and know what to expect.
For Your Health
Knowing what this code represents helps you understand your treatment plan, ask better questions during appointments, and track your healthcare journey more effectively.
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