A7034 - Nasal mask or tube used with breathing assistance 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 code covers nasal interface devices (either mask-style or cannula/tube-style) that connect to positive airway pressure machines like CPAP or BiPAP devices. These devices deliver pressurized air through your nose to help keep your airways open during sleep or breathing treatment. The interface may include a head strap to keep it securely in place.
Additional Information
This is a replacement or initial supply item for patients using CPAP, BiPAP, or other positive airway pressure devices. The nasal interface is a key component that must fit properly for effective treatment.
Category
Durable Medical Equipment (DME)
Medical Specialty
Sleep Medicine/Pulmonology
Expected Costs
We expect this to normally be in the range of:
$25 - $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 from healthcare provider
- Diagnosis requiring positive airway pressure therapy
What to Expect After
- Regular cleaning and maintenance
- Periodic replacement as recommended
- Follow-up with sleep specialist or pulmonologist
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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