New user, Script for APAP

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
jasbur
Posts: 3
Joined: Fri Jul 02, 2021 12:18 pm

New user, Script for APAP

Post by jasbur » Fri Jul 02, 2021 12:26 pm

Hi All -
I'm newly diagnosed with OSA and was given a script that states APAP. It just says 4cm - 20cm, so I guess the doctor thinks he'll narrow that down later.
It seems Resmed is the way to go, so I think APAP would mean a choice between:
AirSense 10 Autoset
AirCurve 10 vAuto
Is that correct? Assuming money is no object, is AirCurve the way to go? I don't want to buy the less expensive one and then find out the other one would have worked better or been more comfortable for me.
Thoughts?
Thanks!

User avatar
Dog Slobber
Posts: 4290
Joined: Thu Feb 15, 2018 2:05 pm
Location: Ontario, Canada

Re: New user, Script for APAP

Post by Dog Slobber » Fri Jul 02, 2021 12:47 pm

No, a script for APAP does not mean the AirCurve VAuto. The AirCurve is a BiLevel machine.

ResMeds are clearly the most recommended device here on the forums.

Specifically the:
  • AirSense 10 Autoset
  • AirSense 10 Autoset for Her
The for Her model is probably recommend more, even if you're a him because it is identicle in functionality to the AutoSet, but has an extra optional algorithm.

Having said that, I still prefer the AirCurve VAuto. It has almost ll of the AutoSet features plus a greater pressure range and pressure support. A script for APAP may not be eligible for BiLevel.
Battery Backup: EcoFlow Delta 2

jasbur
Posts: 3
Joined: Fri Jul 02, 2021 12:18 pm

Re: New user, Script for APAP

Post by jasbur » Fri Jul 02, 2021 1:01 pm

OK, Thanks!
I originally didn't look at the AirCurve, but it showed up on one supply site when I went to the section "Auto CPAP Machines" so I then thought it might be an option.

User avatar
Pugsy
Posts: 65206
Joined: Thu May 14, 2009 9:31 am
Location: Missouri, USA

Re: New user, Script for APAP

Post by Pugsy » Fri Jul 02, 2021 1:09 pm

If you are purchasing from a supplier that requires a RX to be on file and/or filing with your insurance it is unlikely that they will dispense the AirCurve 10 VAuto.
The reason is like DS already mentioned....they are 2 different classes of machines and when it come to insurance, which pays by HCPCS billing code, 2 very different billing codes.

The cpap/apap HCPCS billing code is E0601
The bilevel (without back up rate) HCPCS billing code is E0470

There are some features on the bilevel machine that are pretty sweet....plus it will go to 25 cm if you happen to need it whereas the apap can only go to 20. Chances of needing over 20...not huge but they are there and it doesn't matter how severe or mild your OSA happens to be. I use the VAuto myself but my spare machine is the AutoSet for Her model. I buy my machines privately though so I do what I want though technically I only have a RX for cpap/apap.

BTW....apap machines are first of all cpap machines only they have the auto adjusting mode along with the fixed cpap mode.
This is why the E0601 billing code covers both...either fixed cpap mode only machines or the machines that have the auto mode because those apap also have fixed mode available.

If you could by some way get the AirCurve 10 VAuto....you won't be unhappy with it but the apap model is still a good choice.
If it wasn't I wouldn't have one for my spare.
Bilevel just means 2 distinct pressures...one for inhale and one for exhale....the difference between inhale and exhale is called pressure support. The AutoSet has a feature called EPR which is exhale relief (and is essentially pressure suppor) and using it creates a bilevel situation. The limitation is you can't have a greater than 3 cm difference. The VAuto offers pressure support greater than 3 if needed or wanted. Think of the AutoSet as a bilevel with some limitations that my or may not end up being important to you.

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/
I may have to RISE but I refuse to SHINE.

jasbur
Posts: 3
Joined: Fri Jul 02, 2021 12:18 pm

Re: New user, Script for APAP

Post by jasbur » Fri Jul 02, 2021 2:32 pm

Thanks for all of the info! I called and asked for a change to the script.