Billing Codes

Fourbtgait · Post by **Fourbtgait** » Thu Mar 02, 2023 4:08 pm

I have performed a search here using various words.
Looking for the billing code specifically for CPAP machine repair.
Would it fall under E1399?
I only found on the ResMed site a billing code for DME repair under Medicare.

Thank you.

Russell

ChicagoGranny · Post by **ChicagoGranny** » Thu Mar 02, 2023 5:11 pm

As I understand it, you are speaking of a machine that is over five years old. Medicare will not pay for repairs of such a machine. They will pay for a new machine if your doctor says your machine is not suitable for treatment.

Fourbtgait · Post by **Fourbtgait** » Fri Mar 03, 2023 7:56 am

No, I am speaking of a machine sent in for repair, less than 5 years old and not connected with Medicare at all, under standard insurance.

chunkyfrog · Post by **chunkyfrog** » Fri Mar 03, 2023 10:35 am

Most insurance follows Medicare guidelines, in which case repair may--
or may not be covered by your insurance.
Ask THEM what is covered--if so, they will have a number.
Do not be surprised if you are screwed--insurance works that way.

Fourbtgait · Post by **Fourbtgait** » Fri Mar 03, 2023 10:41 am

I had submitted it once without code. They sent back saying supply code

LSAT · Post by **LSAT** » Fri Mar 03, 2023 11:02 am

Have you asked the shop that did the repairs??? Call ACBIO.com and see if they will talk to you

Fourbtgait · Post by **Fourbtgait** » Fri Mar 03, 2023 12:08 pm

Yes. No reply

LSAT · Post by **LSAT** » Fri Mar 03, 2023 12:19 pm

I'm "guessing" that even if you come up with a billing code and submit it...it will be rejected.

chunkyfrog · Post by **chunkyfrog** » Fri Mar 03, 2023 12:22 pm

Yep, it sounds like you are royally screwed.
If insurance will not replace/repair the machine, buy one online.
Let the DME go broke.

Fourbtgait · Post by **Fourbtgait** » Fri Mar 03, 2023 2:19 pm

Such pessimists lol.
Would seem simple to find a code for repair. But even on CPAP.com the list they have covers all except repair.
Don’t get me started on buying a new one. I dislike a company that drops price drastically after you pay full price then says to bad.

Okie bipap · Post by **Okie bipap** » Fri Mar 03, 2023 2:53 pm

I found one reference that said Code K0739 used for repair of CPAP blower.

zonker · Post by **zonker** » Fri Mar 03, 2023 3:18 pm

Fourbtgait wrote: ↑
Fri Mar 03, 2023 2:19 pm
Such pessimists lol.

you can't disappoint a pessimist!

Grumpy48 · Post by **Grumpy48** » Fri Mar 03, 2023 4:17 pm

Is this helpful?.....
https://document.resmed.com/documents/a ... _Facts.pdf

Fourbtgait · Post by **Fourbtgait** » Fri Mar 03, 2023 6:52 pm

Grumpy48 wrote: ↑
Fri Mar 03, 2023 4:17 pm
Is this helpful?.....
https://document.resmed.com/documents/a ... _Facts.pdf

I have that one, referenced it above as it says for medicare.

Fourbtgait · Post by **Fourbtgait** » Fri Mar 03, 2023 6:54 pm

Okie bipap wrote: ↑
Fri Mar 03, 2023 2:53 pm
I found one reference that said Code K0739 used for repair of CPAP blower.

That number is referenced on ResMed medicare numbers.
Did you find it on a different document?

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