A7035 - Headgear component for sleep apnea breathing 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 the headgear (straps and fitting components) that holds the mask in place for positive airway pressure (PAP) devices. These devices are commonly used to treat sleep apnea by delivering pressurized air to keep airways open during sleep. The headgear is an essential component that ensures the mask stays properly positioned throughout the night for effective treatment.
Additional Information
Headgear typically needs replacement every 6-12 months depending on wear and manufacturer recommendations. Proper fit is essential for treatment effectiveness and patient comfort.
Category
Durable Medical Equipment (DME) - Respiratory
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 for PAP therapy
- Compatible PAP mask
- Sleep study diagnosis (typically sleep apnea)
What to Expect After
- Regular replacement as recommended by manufacturer
- Proper cleaning and maintenance
- Adjustment for comfort and seal effectiveness
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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