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Prescription - CPAP - APAP - BIPAP

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General Information

CPAP choice to treat OSA, CA, obstructive or pulmonary restriction

The Auto CPAP such as the AirSense 10 AutoSet is typically the initial machine of choice for treatment of obstructive apnea and hypopnea

Just to clarify The VAUTO, ASV, S, and the ST are all BiLevel machines for treating three different conditions, they are NOT interchangeable. They are not a choice between them to treat a single condition.

They should be chosen to treat the specific condition that the user has, Here are the various CPAP machines and what they are designed/intended to treat

This info is from the ResMed Sleep Lab Titration Guide

  • CPAP (continuous positive airway pressure) Fixed pressure delivered with optional expiratory pressure relief (EPR). It Treats OSA
  • AutoSet/APAP (automatic positive airway pressure) Automatically adjusts pressure in response to flow limitation, snore and obstructive apneas. It treats OSA
  • AutoSet for Her/APAP Automatically adjusts pressure in response to flow limitation, snore and obstructive apneas along with an increased sensitivity to each flow-limited breath, providing a more comfortable therapy for women. Increases sensitivity to each flow-limited breath, providing a more comfortable therapy for women (OK for men too). It Treats OSA
  • VAuto Automatically adjusts pressure in response to flow limitation, snore and obstructive apneas; Pressure Support (PS) is fixed throughout the night and can be set by the clinician. It Treats OSA, non-compliant OSA
  • S (Spontaneous) Senses when the patient is inhaling and exhaling, and supplies appropriate pressures accordingly. Both treatment pressures are preset: inspiration (IPAP) and expiration (EPAP). It treats Non-compliant OSA and COPD
  • ST (Spontaneous/Timed) Augments any breaths initiated by the patient, but also supplies additional breaths if the breath rate falls below the clinician’s set “backup” respiratory rate. It Treats COPD, Neuromuscular disease (NMD), Obesity Hypoventilation Syndrome (OHS) and other respiratory conditions
  • T (Timed) Supplies a clinician-set respiratory rate and inspiratory/expiratory time, regardless of patient effort. It Treats COPD, Neuromuscular disease (NMD), Obesity Hypoventilation Syndrome (OHS) and other respiratory conditions
  • iVAPS (intelligent Volume-Assured Pressure Support) Maintains a preset target alveolar minute ventilation by monitoring delivered ventilation, adjusting the pressure support and automatically providing an intelligent backup breath. It Treats COPD, Neuromuscular disease (NMD), Obesity Hypoventilation Syndrome (OHS) and other respiratory conditions
  • ASV (adaptive servo-ventilation) Targets the patient’s minute ventilation, continually learning the patient’s breathing pattern and instantly responding to any changes. It treats Central or mixed apneas, complex sleep apnea, Periodic Breathing (PB)
  • ASVAuto Provides an ASV algorithm plus expiratory positive airway pressure (EPAP) that automatically responds on the patient’s next breath to flow limitation, snore and obstructive sleep apneas. It Treats Central or mixed apneas, complex sleep apnea, Periodic Breathing (PB)
  • PAC (Pressure Assist Control, also known as Pressure Control) The inspiration time is preset in the PAC mode; there is no spontaneous/flow cycling. Inspiration can be triggered by the patient when respiratory rate is above a preset value, or delivered at a set time at the backup rate. It Treats Neuromuscular disease (NMD), pediatric patients


(best choice) indicates a full data capable machine that has [OSCAR] software capability and an Auto Mode.  These are in general the best available machines

Always specify the exact machine you wish, This removes all ambiguities and prevents substitutions.

DAW (Dispense as Written) prevents substitutions.

General Information on DreamStation Models from Philips Respironics

Current acceptable in Production Machines (ResMed and Philips Respironics, the 2 most popular manufactures)

  • ResMed AirSense 10 AutoSet (best choice) (E0601) (Fixed CPAP, Auto CPAP)
  • ResMed AirSense 10 AutoSet for Her (best choice) (E0601) (Fixed CPAP, Auto CPAP)
  • ResMed AirSense™ 10 Elite CPAP Machine with HumidAir™ Heated Humidifier (37205) (E0601) (Fixed CPAP)
  • ResMed AirCurve 10, all models
  • ResMed AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier (37211) (E0601, E0562) (best choice) (Fixed CPAP, BiLevel S, VAuto (Auto-BiLevel))
  • ResMed AirCurve™ 10 ASV BiLevel Machine w/HumidAir™ Humidifier (E0471) (best choice) (Fixed CPAP, ASV, ASV Auto)
  • Philips Respironics DreamStation Auto CPAP Machine (DSX500x11) (Not all DreamStation Models, Check SN on bottom, bricks look the same) (Fixed CPAP, Auto CPAP) (best choice)
  • Philips Respironics DreamStation CPAP Pro (DSX400x11) (Not all DreamStation Models, Check SN on bottom) (Fixed CPAP)
  • Philips Respironics DreamStation BiPAP Pro (DSX600x11) (Not all DreamStation Models, Check SN on bottom) (Fixed CPAP, Fixed BiPAP)
  • Philips Respironics DreamStation BiPAP Auto Machine (DSX700x11) (Not all DreamStation Models, Check SN on bottom) (Fixed CPAP, Fixed BiPAP, Auto BiPAP) (best choice)

Current Machines to Avoid

  • Any ResMed AirStart (Lack of full data capability)
  • ResMed AirStart™ 10 CPAP Machine with HumidAir™ Heated Humidifier (all models, 37201) (Lack of full data capability)
  • ResMed AirSense™ 10 CPAP Machine with HumidAir™ (37015, 37203) (Lack of full data capability)
  • Philips Respironics DreamStation CPAP (DSX200x11) (Not all DreamStation Models, Check SN on bottom) (Lack of full data capability)

Note: These are current machines, there are older models that have full data capability that are available via secondary markets if budget is an issue. Please inquire on the forum and your questions will be answered.



Difference in Full Data Capability

We get a lot of questions about the difference so below are examples of a fully data capable machine vs a "Brick" or non-data-capable machine.

These examples are from an Auto Machine

  • Basic Full Data Chart

  • Breath by Breath Detail


A non full data Capable machine looks like

  • a Brick

The detailed data is simply just not there.

CPAP Machine Descriptions

(best choice) indicates a full data capable machine that has OSCAR software capability and an Auto Mode. These are in general the best available machines

ResMed CPAP

  • ResMed AirStart line (Avoid this product line)
    • ResMed AirStart™ 10 CPAP Machine with HumidAir™ Heated Humidifier (all models) (Lack of full data capability) We do not recommend this machine because of its (Lack of full data capability)
      • Model List - 3 May 2017 - AirStart™ 10 CPAP: 37002, 37201, We do not recommend these models
      • Model List - 3 May 2017 - AirStart™ 10 APAP: 37008, 37202, We do not recommend these models
  • The AirSense™ 10 line includes:
    • AirSense™ 10 CPAP: The ResMed AirSense 10 CPAP is a basic fixed-pressure device with integrated humidifier and cellular connectivity. We do not recommend this machine because of its (Lack of full data capability)
      • 37203 CPAP model, standard tube, no data. fixed pressure, We do not recommend this machine, Current US model 3 May 2017
      • 37204 CPAP model, heated tube, no data, fixed pressure, We do not recommend this machine, Current US model 3 May 2017
      • Model List - 3 May 2017: 37014, 37015, 37016, 37017, 37018, 37063, 37072, 37203, 37204, 37217, 37218, 37285, 37311, 37312, 37325, 37395, 37398, 37399, 37440, We do not recommend these models
    • AirSense™ 10 Elite: The ResMed AirSense 10 Elite is a premium fixed-pressure device with integrated humidifier, cellular connectivity and advanced event detection.
      • 37205 CPAP Elite Model, standard tube, data, fixed pressure, Current US model 3 May 2017
      • 37206 CPAP Elite Model, heated tube, data fixed pressure, Current US model 3 May 2017
      • Model List - 3 May 2017: 37019, 37020, 37021, 37022, 37023, 37024, 37025, 37043, 37071, 37205, 37206, 37219, 37220, 37234, 37235, 37243, 37244, 37256, 37265, 37270, 37286, 37313, 37314, 37326, 37338, 37355, 37366, 37371, 37393, 37400, 37401, 37424, 37439
    • AirSense™ 10 AutoSet™: The ResMed AirSense 10 AutoSet is a premium auto-adjusting pressure device with integrated humidifier, cellular connectivity and advanced event detection. (best choice)
      • 37207 Autoset, standard tube, data, auto pressure, Current US model 3 May 2017
      • 37208 Autoset, Climateline tube, data, auto pressure, Current US model 3 May 2017
      • Model List - 3 May 2017: 37027, 37028, 37029, 37030, 37031, 37032, 37033, 37064, 37065, 37067, 37207, 37208, 37221, 37222, 37236, 37237, 37245, 37246, 37254, 37258, 37259, 37266, 37271, 37273, 37274, 37287, 37294, 37315, 37316, 37319, 37321, 37327, 37339, 37352, 37367, 37372, 37402, 37403, 37436
    • AirSense™ 10 AutoSet™ for Her: The ResMed AirSense 10 AutoSet for Her is a premium auto-adjusting pressure device for female patients. It also includes an integrated humidifier, cellular connectivity and advanced event detection. (best choice)
      • 37209 Autoset For Her, Climateline tube, data, auto pressure, for her algorithm., Current US model 3 May 2017
      • Model List - 3 May 2017: 37034, 37035, 37036, 37037, 37039, 37040, 37041, 37066, 37209, 37210, 37223, 37224, 37247, 37260, 37288, 37295, 37317, 37318, 37320, 37322, 37328, 37353, 37368, 37390, 37396, 37404, 37405, 37420, 37421, 37422, 37423, 37437

ResMed BiPAP/BiLevel

  • The AirCurve 10 line includes: (best choice)
    • AirCurve 10 VAuto: An auto-adjusting bilevel device for patients who need greater pressure support to treat their obstructive sleep apnea. It uses the comfort of both the proven AutoSet algorithm and Easy-Breathe waveform in its VAuto algorithm.
      • Model List - 3 May 2017: 37050, 37051, 37052, 37053, 37054, 37055, 37059, 37211, 37212, 37225, 37226, 37238, 37239, 37248, 37249, 37261, 37262, 37267, 37272, 37289, 37391, 37392, 37406, 37407
    • AirCurve 10 S: A bilevel device ideal for patients who need extra pressure support or find it difficult to adjust to therapy on a fixed pressure continuous positive airway pressure device. It features two different adjustable pressures that can help make therapy feel more comfortable.
      • Model List - 3 May 2017: 37045, 37046, 37047, 37048, 37068, 37213, 37214, 37227, 37228, 37250, 37251, 37290, 37340, 37351, 37397, 37408, 37409
    • AirCurve 10 ST: A bilevel device with backup rate that provides exceptional patient-ventilator synchrony, reducing the work of breathing so patients remain comfortable and well ventilated.
      • Model List - 3 May 2017: 37056, 37057, 37058, 37073, 37306, 37307, 37348, 37349, 37373, 37374, 37375, 37412, 37413
    • AirCurve™ 10 ST-A: A highly effective ventilator that also allows you to proactively monitor and follow up with respiratory insufficiency patients.
      • Model List - 3 May 2017: 28210, 28211, 28219, 28323, 28326
    • AirCurve 10 ASV: A bilevel device for central breathing disorders such as Cheyne-Stokes respiration, central sleep apnea, or obstructive events. The AirCurve 10 ASV targets the patient’s own recent minute ventilation. By treating central breathing disorders with auto-adjusting pressure support, and upper airway obstruction with auto-adjusting expiratory positive airway pressure, the device works to rapidly stabilize breathing.
      • Model List - 3 May 2017: 37042, 37043, 37044, 37215, 37216, 37229, 37230, 37291, 37410, 37411
  • Features include:
    • TiControl: Found in AirCurve 10 S, AirCurve 10 VAuto, and AirCurve 10 ST, TiControl lets providers set minimum and maximum time limits on either side of the patient’s ideal spontaneous flow cycling, creating a window of opportunity for the patient to spontaneously cycle the breath and timely intervention during challenging conditions.
    • Trigger Sensitivity: Adjustable trigger and cycle sensitivity settings TiControl, found in AirCurve 10 S, AirCurve 10 VAuto, and AirCurve 10 ST, can be used to optimize synchrony between the device and the patient’s own respiratory efforts.
    • Vsync: Advanced leak management technology, Vsync helps provide patient-ventilator synchrony. Vsync is available in all AirCurve 10 devices.
    • HumidAir: Integrated heated humidification that affords simpler therapy, with fewer parts to set up and manage.

Philips Respironics CPAP Machines

  • Philips Respironics DreamStation CPAP (DSX200x11) (Not all DreamStation Models, Check SN on bottom) (Lack of full data capability) Avoid this model
  • Philips Respironics DreamStation CPAP Pro (DSX400x11) (Not all DreamStation Models, Check SN on bottom) (Fixed CPAP)
  • Philips Respironics DreamStation Auto CPAP Machine (DSX500x11) (E0601) (S11 is Machine only, H11 is Heated Humidifier (best choice), T11 is Heated Humidifier and Heated Tube (best choice))

Philips Respironics BiPAP/BiLevel Machines

  • Philips Respironics DreamStation BiPAP Pro (DSX600x11) (Not all DreamStation Models, Check SN on bottom) (Fixed CPAP, Fixed BiPAP)
  • Philips Respironics DreamStation BiPAP Auto Machine (DSX700x11) (Not all DreamStation Models, Check SN on bottom) (Fixed CPAP, Fixed BiPAP, Auto BiPAP) (best choice)

Non-invasive ventilation (NIV) devices

  • iVAPS (intelligent Volume-Assured Pressure Support)
    • ResMed Lumis™ 150 VPAP ST: A non-invasive ventilator designed for non-dependent patients with obstructive or restrictive respiratory conditions.
      • Featuring ResMed’s unique volume-assurance mode – iVAPS (intelligent Volume-Assured Pressure Support) – Lumis 150 VPAP ST maintains target alveolar ventilation to suit each patient’s changing needs. And with an intelligent Backup Rate (iBR) and optional AutoEPAP, iVAPS continuously monitors ventilation and the upper airway. The ventilator is easy to set up and use, and features built-in wireless connectivity to AirView™ – ResMed’s cloud-based patient management system – for remote monitoring.
    • ResMed Lumis 150 VPAP ST-A: An auto non-invasive ventilator with alarms. It is designed for non-dependent patients with respiratory insufficiency.
      • The ventilator features IntelligentAir, a collection of ResMed technologies that can tailor therapy to the patient’s individual breathing needs. IntelligentAir comprises iVAPS (intelligent Volume-Assured Pressure Support), a mode that automatically adapts to the patient’s changing needs, an intelligent Backup Rate (iBR) that maximises their opportunity to breathe spontaneously, and an optional AutoEPAP to maintain upper airway patency. Lumis 150 VPAP ST-A is easy to set up and use, and features built-in wireless connectivity to AirView™ – ResMed’s cloud-based patient management system – for remote monitoring.
    • Philips BiPAP AVAPS Ventilator: A Non-Invasive ventilator that provides the comfort of pressure ventilation and the consistent efficacy of assured tidal volume
      • avaPs is a support function that can be activated within our s, s/T, PC and T pressure modes. It automatically adapts pressure support to patient needs to guarantee an average tidal volume. Inspiratory pressure increases or decreases from breath to breath to ensure the preset tidal volume. Designed especially for patients with certain diseases or disorders, such as: neuromuscular and COPD patients who have respiratory insufficiency, or obese patients with hypoventilation problems.

Advanced Machine Differences

What you first need to know about the ASV warning for individuals with low LVEF is that the SERVE-HF study was based on using older machines with fixed EPAP pressure and fixed minimum PS. and the study cohort was not titrated for efficacy. In addition, the study did not stipulate a minimum use for the machine (compliance). These were legacy machines with different algorithms than today's ASV auto and Auto SV which have auto-adjusting EPAP to keep pressure lower, and which allow a minimum PS of zero, with responsive adaptive pressure support to target minute vent or tidal volume. In many ways, the older ASV/SV was an adaptation of the comparatively dumb ST you are now using. A "reason" for the increased mortality in the cohort was not identified. The study was terminated based on a statistically significant increased risk of sudden cardiac death. The new ADVENT-HF study in progress is using modern ASV / SV machines titrated to for efficacy and monitored for minimum use. The study cohort is individuals with CHF and LVEF. So far, the study has shown a significant improvement in the patients using ASV over those using CPAP and bilevel ST, and no increased mortality. this study should complete in mid 2020, and will be published by 2021. Earlier in this thread, I mentioned that in 2-3 years, your doctor will have a different recommendation than today, and based on other errors by your doctor, I doubt he is following the studies.

iVAPS (Resmed) and AVAPS (Philips) Volume Assured Pressure Support is mostly targeted at patients with COPD, hypoventilation and neuromuscular thoracic disorders, while ASV is intended to treat central and complex apnea and obstructive apnea in patients with otherwise relatively healthy respiratory function. The iVAPS and AVAPS target the same patient subsets as the older ST technology, but use intelligent algorithms instead of fixed pressure support to maintain ventilation. VAPS machines can exceed the capability of ASV in that they have many more controls including a breath rate, and an aveolar volume rate setting that ASV lacks. The Resmed ASV is really only suitable for someone that maintains a normal respiratory rate and volume because it targets the patient's spontaneous RR and Vt from the previous 90 seconds. If that individual has insufficient respiration to start with, there is no way to cause an ASV to deliver an assured volume, as the iVAPS does. So when a more complex ventilation need is presented, particularly where a patient cannot maintain their rate and volume due to pulmonary disease or other respiratory disorder (as opposed to simple complex or central apnea), then the VAPS machines come into play. Put more directly, the ASV does not target a prescribed ventilation ad respiration rate, it instead targets targets the patient's own baseline minute vent and RR, which can result in a diminishing ventilation rate (Resmed), or it may have a targeted ventilation rate and targets the patient's tidal volume (Philips).

Here is a research summary released last year that explains AVAPS/iVAPS https://www.researchgate.net/publication...re_support

Prescription Template

Rx

DAW (Dispense as Written) (forces the DME to supply exactly what is specified.

Diagnosis: (choose 1)

  • Obstructive Sleep Apnea, Adult Pediatric g47.33
  • Other unspecified sleep apnea, 780.57
  • Hypersomnia with sleep apnea, unspecified 780.53

Estimated Lehgth of Service ___ Lifetime or 99 Months (The longer the better)


Machine Type (choose 1) [[1]]

  • CPAP or APAP E0601 (Do Not Use) (If you order by number (E0601) or the generic description of CPAP you will very likely get a non-auto, non-data capable brick, not good. THIS is what typically gets you in trouble.)
  • ResMed AirSense 10 AutoSet (Fixed CPAP, Auto CPAP) (best choice) (E0601)
  • ResMed AirSense 10 AutoSet for Her (Fixed CPAP, Auto CPAP) (best choice) (E0601)
  • ResMed AirSense 10 Elite (Fixed CPAP) (E0601)
  • Philips Respironics DreamStation Auto CPAP Machine (DSX500x11) (E0601) (S11 is MAachine only, H11 is Heated Humidifier (best choice), T11 is Heated Humidifier and Heated Tube (best choice))
  • Philips Respironics PR System One REMStar 60 Series Auto with Bluetooth (DS560BT) (older model) (E0601)

(All ResMed and Philips Respironics BiPAP machines are fully data capable) be sure to choose the correct BiPAP / BiLevel model to treat your condition.

  • BiPAP / BiLevel / VPAP (E0470)
  • BiPAP ST / BiLevel ST / VPAP ST (E0471)
  • BiPAP SV / BiLevel SV / VPAP SV (E0471)
  • Resmed S9 VPAP Adapt (older model, no longer available from ResMed) (ASV)
  • ResMed AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier (37211) (E0601, E0562) (best choice) (CPAP, BiLevel S, VAuto (Auto-BiLevel))
    • An auto-adjusting bilevel device for patients who need greater pressure support to treat their obstructive sleep apnea. It uses the comfort of both the proven AutoSet algorithm and Easy-Breathe waveform in its VAuto algorithm.
  • ResMed AirCurve™ 10 S BiLevel Machine with HumidAir™ Heated Humidifier (37213) (E0601, E0562) (CPAP, BiLevel S)
    • A bilevel device ideal for patients who need extra pressure support or find it difficult to adjust to therapy on a fixed pressure continuous positive airway pressure device. It features two different adjustable pressures that can help make therapy feel more comfortable.
  • ResMed AirCurve™ 10 ST BiLevel Machine with HumidAir™ Heated Humidifier (E0471)
    • A bilevel device with backup rate that provides exceptional patient-ventilator synchrony, reducing the work of breathing so patients remain comfortable and well ventilated
  • ResMed AirCurve™ 10 ASV BiLevel Machine w/HumidAir™ Humidifier (E0471) (best choice) (CPAP, BiLevel S, VAuto (Auto-BiLevel))
    • A bilevel device for central breathing disorders such as Cheyne-Stokes respiration, central sleep apnea, or obstructive events. The AirCurve 10 ASV targets the patient’s own recent minute ventilation. By treating central breathing disorders with auto-adjusting pressure support, and upper airway obstruction with auto-adjusting expiratory positive airway pressure, the device works to rapidly stabilize breathing.
  • Philips Respironics DreamStation BiPAP Auto Machine (DSX700S11) (best choice)
  • Philips Respironics PR System One REMStar 60 Series BiPAP Auto (older model)

(needed your DME will use this for initial setup) Pressure or Pressure Range: ___________CM/H2O Humidifier(s) (choose 1)

  • Patient Preference (best choice)
  • Heated Humidifier E0562 (best choice)
  • Passover Humidifier E0561

CPAP Mask/Interface/Delivery System:

  • CPAP Mask, Patient Preference (best choice)
  • Other:

Supplies:

  • All Related Supplies

The following dispensable equipment is necessary for the proper use of the equipment and is not a part of the CPAP, BiLevel, BiLevel ST, BiLevel SV or AVAPs machine when purchased and needs to be replaced on a regular basis:

  • Nasal Pillows (A7033)
  • Nasal Mask (A7034)
  • Full Face Mask (A7030)
  • Oral Interface (A7044)
  • Headgear (A7035)
  • Full Face Cushion (A7031)
  • Chinstrap (A7036)
  • Exhalation Port/Swivel (A7045)
  • Tubing (A7037)
  • Heated Humidifier Tubing w/ Heating Element (A4604)
  • Humidifier Chamber (A7046)
  • Mask Cushion (A7032)
  • Disposable Filters (A7038)
  • Non-Disposable Filters (A7039)

Prescription CPAP

Rx

Ordering Physician:
Physician's Address:
Phone:
Fax:

Patient:
DOB:

DAW (Dispense as Written)

Diagnosis:

  • Obstructive Sleep Apnea, Adult Pediatric g47.33

Estimated Lehgth of Service Lifetime

Machine Type

  • ResMed AirSense 10 AutoSet

Pressure or Pressure Range: (value from titration study or Dr) or 14 CM/H2O

Humidifier(s)

  • Heated Humidifier E0562

CPAP Mask/Interface/Delivery System:

  • CPAP Mask, Patient Preference

Supplies:

  • All Related Supplies

The following dispensable equipment is necessary for the proper use of the equipment and is not a part of the CPAP, BiLevel, BiLevel ST, BiLevel SV or AVAPs machine when purchased and needs to be replaced on a regular basis:

  • Nasal Pillows (A7033)
  • Nasal Mask (A7034)
  • Full Face Mask (A7030)
  • Oral Interface (A7044)
  • Headgear (A7035)
  • Full Face Cushion (A7031)
  • Chinstrap (A7036)
  • Exhalation Port/Swivel (A7045)
  • Tubing (A7037)
  • Heated Humidifier Tubing w/ Heating Element (A4604)
  • Humidifier Chamber (A7046)
  • Mask Cushion (A7032)
  • Disposable Filters (A7038)
  • Non-Disposable Filters (A7039)


The above named patient was diagnosed as indicated. Due to the potentially dangerous consequences of disturbed sleep and sleep deprivation, which include the possibility of falling asleep in critical situations, treatment of this condition is considered mandatory rather than elective, on a nightly basis for a long term to lifetime duration (99 months).

Physician's Signature:
NPI:
Date:
License:

Prescription BiPAP VAuto

Rx

Ordering Physician:
Physician's Address:
Phone:
Fax:

Patient:
DOB:

DAW (Dispense as Written)

Diagnosis:

  • Obstructive Sleep Apnea, Adult Pediatric g47.33

Estimated Lehgth of Service Lifetime Machine Type

  • ResMed AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier

Pressure or Pressure Range: (value from titration study or Dr) or Max IPap: 25 Min EPap: 10 CM/H2O, PS: 6 CM/H2O Ramp !5 Mode: VAuto

Humidifier(s)

  • Heated Humidifier E0562

CPAP Mask/Interface/Delivery System:

  • CPAP Mask, Patient Preference

Supplies:

  • All Related Supplies

The following dispensable equipment is necessary for the proper use of the equipment and is not a part of the CPAP, BiLevel, BiLevel ST, BiLevel SV or AVAPs machine when purchased and needs to be replaced on a regular basis:

  • Nasal Pillows (A7033)
  • Nasal Mask (A7034)
  • Full Face Mask (A7030)
  • Oral Interface (A7044)
  • Headgear (A7035)
  • Full Face Cushion (A7031)
  • Chinstrap (A7036)
  • Exhalation Port/Swivel (A7045)
  • Tubing (A7037)
  • Heated Humidifier Tubing w/ Heating Element (A4604)
  • Humidifier Chamber (A7046)
  • Mask Cushion (A7032)
  • Disposable Filters (A7038)
  • Non-Disposable Filters (A7039)


The above named patient was diagnosed as indicated. Due to the potentially dangerous consequences of disturbed sleep and sleep deprivation, which include the possibility of falling asleep in critical situations, treatment of this condition is considered mandatory rather than elective, on a nightly basis for a long term to lifetime duration (99 months).

Physician's Signature:
NPI:
Date:
License:

Prescription APAP

Rx

Ordering Physician:
Physician's Address:
Phone:
Fax:

Patient:
DOB:

DAW (Dispense as Written)

Diagnosis:

  • Obstructive Sleep Apnea, Adult Pediatric g47.33

Estimated Lehgth of Service ___ lifetime / 99 ___ Months

Machine Type

  • ResMed AirSense 10 AutoSet

Pressure or Pressure Range: (value from titration study or Dr) or 8-20 CM/H2O, EPR 2 CM/H2O

Humidifier(s)

  • Heated Humidifier E0562

CPAP Mask/Interface/Delivery System:

  • CPAP Mask, Patient Preference

Supplies:

  • All Related Supplies

The following dispensable equipment is necessary for the proper use of the equipment and is not a part of the CPAP, BiLevel, BiLevel ST, BiLevel SV or AVAPs machine when purchased and needs to be replaced on a regular basis:

  • Nasal Pillows (A7033)
  • Nasal Mask (A7034)
  • Full Face Mask (A7030)
  • Oral Interface (A7044)
  • Headgear (A7035)
  • Full Face Cushion (A7031)
  • Chinstrap (A7036)
  • Exhalation Port/Swivel (A7045)
  • Tubing (A7037)
  • Heated Humidifier Tubing w/ Heating Element (A4604)
  • Humidifier Chamber (A7046)
  • Mask Cushion (A7032)
  • Disposable Filters (A7038)
  • Non-Disposable Filters (A7039)


The above named patient was diagnosed as indicated. Due to the potentially dangerous consequences of disturbed sleep and sleep deprivation, which include the possibility of falling asleep in critical situations, treatment of this condition is considered mandatory rather than elective, on a nightly basis for a long term to lifetime duration (99 months).

Physician's Signature:
NPI:
Date:
License:

Medicare CPAP Qualifications

CPAP Qualifications (E0601) Patient must meet all the following criteria to qualify for an E0601 device (CPAP)

  • Patient has had a face-to-face clinical evaluation
    • by treating physician prior to sleep test.
  • Patient has had a sleep test which meets Medicare Requirements.
    • that meets either of the following criteria:
      • AHI/RDI3 is ≥ 15 events per hour with minimum of 30 events; or,
      • AHI/RDI is ≥ 5 and ≤ 14 events per hour with minimum of 10 events and documentation of excessive daytime sleepiness, impaired cognition, mood disorders, insomnia, hypertension, ischemic heart disease or history of stroke. See back for additional information.
  • Diagnosed with OSA (ICD-9 code of 327.23)
  • Patient and/or caregiver has received instruction from the supplier of the CPAP device and accessories in the proper use and care of the equipment.

Medicare BiPAP Qualifications

Bilevel Qualifications (E0470) (Follow for CPAP to bilevel conversion) Patient must meet all the following criteria to qualify for an E0470 device (bilevel without a backup rate)

  • Patient is qualified for E0601 (CPAP)
  • Treating physician documented both of the following issues were addressed prior to changing a patient from an E0601 to an E0470 device due to ineffective therapy:
    • An appropriate interface has been properly fitted and the beneficiary is using it without difficulty. The properly fitted interface will be used with the E0470 device; and
    • The current pressure setting of the E0601 prevents the beneficiary from tolerating the therapy, and lower pressure settings of the E0601 were tried but failed to:
      • Adequately control the symptoms of OSA; or
      • Improve sleep quality; or
      • Reduce the AHI/RDI to acceptable levels.
  • Yes or No Has CPAP been used < 3 months? (ie, CPAP is tried and found ineffective during the initial 3-month home trial)
    • If “No” a new initial face-to-face clinical evaluation is required but not a new sleep test. A new 3-month trial would begin for use of the bilevel.
    • If “Yes” the patient is qualified for an E0470 device (bilevel without a backup rate, such as VPAP Auto).

Medicare BiPAP ASV Qualification

holding for development


External Medicare Links

Sleep apnea & Continuous Positive Airway Pressure (CPAP) devices & accessories

Medicare Replacement Schedule

United States Medicare Replacement Schedule

Item Frequency
A7034 CPAP Mask (Every 3 months)
A7035 CPAP Headgear (Every 3-6 months)
A7036 CPAP Chin Strap (Every 6 months)
A7037 CPAP Tubing (Every 3 months)
A7038 Disposable Filter (2 new filters every month)
A7039 Non-disposable Filters (1 new filter every 6 months)
A7030 Full Face Mask (Every 3 months)
A7029 Nasal Pillows (2 per month)
A7046 Humidifier Chamber (Every 6 months)
E0601 CPAP (Generally, 3 to 5 years)

This is not a complete list, check with your individual insurance company.




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