Billing Your Health Insurance Company for Out-of-Pocket CPAP Purchases

Many customers wish to submit a health insurance claim for supplies bought through CPAP Supplies Plus/Direct. To ensure patients use their insurance to the fullest extent, we have included this page of instructions for filing an insurance claim.

Note: CPAP Supplies Plus/Direct can only provide general instructions for our patients. We cannot determine the policies and procedures for each insurance company and thus cannot guarantee that this information is accurate for your specific policy. Please verify the following information with your insurance company before filing a claim.

General Instructions

HCPCS Billing Codes

The following HCPCS codes are used by insurance companies to process claims. Codes should correspond to each separate item on your invoice. Note: Items such as CPAP bed pillows, batteries, and DC adapters are not covered as they are considered luxury products.

E0601 - CPAP machine purchase
A7034 - CPAP nasal mask
A7032 - CPAP nasal mask cushion
A7030 - CPAP Full Face mask
A7031 - CPAP Full Face mask cushion
A7044 - CPAP Full Oral Interface
A7046 - CPAP Humidifier Chamber
A7037 - CPAP tubing, long and short hoses
A7038 - CPAP disposable filter
A7039 - CPAP foam filter
A7035 - CPAP headgear
A7033 - CPAP nasal pillows
A7036 - CPAP chinstrap
E0561 - CPAP Passover Humidifier
E0562 - CPAP Heated Humidifier
E0470 - BiPAP purchase
E0471 - BiPAP-ST purchase
A4604 - Thermo Smart Tube
K0553 - Oral/Nasal (Hybrid) Mask
K0554 - Oral Cushion for Hybrid Mask
K0555 - Nasal Cushion for Hybrid Mask
E1399 - CPAP Miscellaneous (this code is to be used for any CPAP items covered by your insurance but not listed above.

 

Physician Diagnosis Code
Insurance companies require you to provide a code associated with your specific medical diagnosis. The diagnosis code for Obstructive Sleep Apnea is 327.23. To ensure that you have the correct code for your diagnosis, contact your physician.

 

Our Company Information
Your insurance company might require information regarding CPAP Supplies Plus/Direct to process your claim. The most commonly requested information is below:

CPAP Supplies Plus/Direct
10481 164th Place
Orland Park, IL 60467
Phone: 877-791-31959
Fax: 708-364-0166
Tax ID Number: 47-0921124