Called Apria

imsotired · Post by **imsotired** » Thu Aug 03, 2006 9:29 am

They had just gotten my approval number from my insurance company. She said that they had my equipment ready to deliver to me. She gave me a bunch of 5 digit codes:
E0601
A7037
E0561
A7034
A7035
Which of course mean nothing to me. If anyone can tell me what these codes translete to in equipment that would be very helpful. All she would tell me is they were CPAP, tubing, mask, humidifier, and headgear. I asked if the humidifier was heated and she said she didn't think it was. SO Now, I'm off to call my insurance company back to ask what my cost with these codes will be at a 50% copay. She sounded like I was odd for not just accepting for these items to be delivered. I thought I'd be going there and at least have some say. This whole thing is really starting to get to me.

snoregirl · Post by **snoregirl** » Thu Aug 03, 2006 9:31 am

somewhere on this forum there is a link with a list.

But the E0601 is a CPAP. Used for CPAP or APAP (only one code exists)

Guest · Post by **Guest** » Thu Aug 03, 2006 9:33 am

They sent the billing codes for the insurance - they apply to any type of machine / equip. You need to ask exactly how much you will pay and what type of device it is.

snoregirl · Post by **snoregirl** » Thu Aug 03, 2006 9:37 am

I found it (previous post)

But code doesn't tell you what brand or type of CPAP/APAP they are going to set you up with. You need more information from them. They bill your insurance the same for any type of CPAP (whatever they bill or the insurance agrees to pay for E0601

Posted: Tue Feb 21, 2006 8:38 pm Post subject: Delete Spam

--------------------------------------------------------------------------------

This is from cpap.com:

What are the CPAP, BiPAP and Sleep Apnea related billing codes?

EO601 RR is CPAP rental.
E0601 NU is CPAP purchase.
A7034 is CPAP nasal mask, including all nasal masks, Nasal Aire, Breeze, Spiritus.
A7032 is CPAP nasal mask cushion.
A7030 is CPAP Full Face mask.
A7031 is CPAP Full Face mask cushion.
A7044 is CPAP Full Oral Interface.
A7046 is CPAP Humidifier Chamber.
A7037 is CPAP tubing, long and short hoses.
A7038 is CPAP disposable filter.
A7039 is CPAP gross particle (foam) filter.
A7035 is CPAP headgear.
A7033 is CPAP nasal pillows.
A7036 is CPAP chinstrap.
E0561 NU is CPAP Passover Humidifier
E0562 NU is CPAP Heated Humidifier
E0470 RR is BiPAP rental.
E0470 NU is BiPAP purchase.
E0471 RR is BiPAP-ST rental.
E0471 NU is BiPAP-ST purchase.
Other CPAP items are listed under E1399, which is miscellaneous.

_________________

snoregirl · Post by **snoregirl** » Thu Aug 03, 2006 9:38 am

I just noticed that they have you coded for passover humidifier.

Get integrated heated or don't agree to take it.

Wulfman · Post by **Wulfman** » Thu Aug 03, 2006 9:39 am

Codes have changed as of January 2003. These are updated codes are used to bill insurance and government plans for CPAP items.

* EO601 RR is CPAP rental.
* E0601 NU is CPAP purchase.
* A7034 is CPAP nasal mask, including all nasal masks, Nasal Aire, Breeze, Spiritus.
* A7032 is CPAP nasal mask cushion.
* A7030 is CPAP Full Face mask.
* A7031 is CPAP Full Face mask cushion.
* A7044 is CPAP Full Oral Interface.
* A7046 is CPAP Humidifier Chamber.
* A7037 is CPAP tubing, long and short hoses.
* A7038 is CPAP disposable filter.
* A7039 is CPAP gross particle (foam) filter.
* A7035 is CPAP headgear.
* A7033 is CPAP nasal pillows.
* A7036 is CPAP chinstrap.
* E0561 NU is CPAP Passover Humidifier
* E0562 NU is CPAP Heated Humidifier
* E0470 RR is BiPAP rental.
* E0470 NU is BiPAP purchase.
* E0471 RR is BiPAP-ST rental.
* E0471 NU is BiPAP-ST purchase.

Other CPAP items are listed under E1399, which is miscellaneous.

oldgearhead · Post by **oldgearhead** » Thu Aug 03, 2006 9:41 am

I'm going to bet your co-pay will be more than what you can buy it yourself from cpap.com.. Let us know...Save a copy of the script..

snoregirl · Post by **snoregirl** » Thu Aug 03, 2006 9:43 am

Sorry to post so many times but another thought occurred to me

When you buy cash from Cpap.com the tubing comes with it. With your local dme they are charging you seperately.... A7037 (consider that in your cost analysis)

Also, make them give you the filters (both types) if you go with Apria locally

The RT at Apria for me tried to just put in the large partical filter and leave out the small white one. I called him on it. He also did some other stuff wrong which I had to fix.

He then got one and proceeded to put in in backward. Logic says the fuzzy part goes towards the room and the smooth part towards the machine. I didn't even have to read the manual to know this.

imsotired · Post by **imsotired** » Thu Aug 03, 2006 10:38 am

Well Apria called me back and said the machine is a Fischer and Paykel Pro 2? I can't find this machine anywhere to look at it.

OwlCreekObserver · Post by **OwlCreekObserver** » Thu Aug 03, 2006 10:43 am

imsotired wrote:Well Apria called me back and said the machine is a Fischer and Paykel Pro 2? I can't find this machine anywhere to look at it.

Might they have said "Respironics Remstar Pro 2?"

imsotired · Post by **imsotired** » Thu Aug 03, 2006 10:45 am

No, she specifically said Fischer Paykel Pro 2.

Wulfman · Post by **Wulfman** » Thu Aug 03, 2006 10:48 am

If that IS what they told you.....it doesn't exist.

There is a REMstar Pro 2 by Respironics that looks like this:

(This picture is without the humidifier)
https://www.cpap.com/productpage/respir ... cflex.html

And, the Fisher-Paykel machines look like this:

https://www.cpap.com/productpage/fisher ... -cpap.html

Den

OwlCreekObserver · Post by **OwlCreekObserver** » Thu Aug 03, 2006 10:50 am

imsotired wrote:No, she specifically said Fischer Paykel Pro 2.

Well I couldn't find anything on it either. Maybe one of the FP users here can come up with the answer.

OCO

snoregirl · Post by **snoregirl** » Thu Aug 03, 2006 10:51 am

I wonder

http://www.fphcare.com/

I don't see any pro 2 listed at the company web site.

Respironics (Remstar line) does indeed have a pro 2

It is the best regular CPAP (other than some might argue the new M series that is smaller). But the pro 2 has the data collection capability etc.

Unless you were looking for an auto (and i can't remember your orignial post now) this is a good machine Remstar Pro2

Call them back and make sure if it is Respironics or F and P

bdp522 · Post by **bdp522** » Thu Aug 03, 2006 11:29 am

Apria also tried to give me a FP pro2. When I told them it didn't exist they said it a FP HC234. They KNOW exactly what they will give you, don't let them give you the runaround. If the items they are giving you are not EXACTLY what you want TELL them. I told them what I wanted and was told I had no choice in the matter. I called the corporate headquarters and complained. As you can see I ended up with a very nice setup!

Called Apria

Called Apria

Fischer and Paykel Cpap machine?

Re: Fischer and Paykel Cpap machine?