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 a special type of tubing that connects to a CPAP, BiPAP, or other positive airway pressure machine used to treat sleep apnea and breathing disorders. The tubing has a built-in heating element that warms the air as it travels from the machine to your mask, helping to prevent condensation (water buildup) in the tube and making breathing more comfortable during sleep therapy.
Additional Information
This is a replacement supply item for sleep apnea equipment. The heated tubing helps maintain optimal humidity and temperature for more comfortable sleep therapy treatment.
Category
Durable Medical Equipment Supply
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 positive airway pressure therapy
- Compatible PAP device
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.
Want This Level of Detail on All Your Claims?
Get detailed explanations for every medical code on your Medicare bills. Currently supporting Medicare only.