Dynamic List Information
Dynamic List Data
HCPCS Code
E0472
On Master List?
Yes
Prior Authorization Required?
No
PA Effective Dates
N/A
F2F and Written Order Prior to Delivery?
No
F2F and WOPD Effective Dates
N/A
Description: Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, (for example, tracheostomy tube (intermittent assist device with continuous positive airway pressure device))