Prescription Information

Some of the items on our site require a prescription. CPAP/Bi-Level machines, humidifiers, masks and portable oxygen are classified as Class II Medical Devices by the United States Food and Drug Administration (FDA). In order for Medquarters to supply you with these items, we need your prescription on file prior to shipping an order that contains these items.


If you have questions about products you need, or if you have a prescription and you are uncertain if is valid, please call us at 1-888-547-0242. We are happy to help.


Here are 3 easy ways to send us your prescription:

 

If you’ve ordered with us before, simply make a note of this on the order instruction form when placing your order online, or email or call 888-547-0242 and let us know the form is already on file.

 

These CPAP related items do NOT require a prescription:

  • Replacement cushions
  • Pillows for full-face and nasal masks
  • Headgear and Chinstraps
  • Tubing
  • Filters

Healthcare professionals who can write a prescription for CPAP:

  • Primary Care Physician
  • Pulmonologist
  • General Practitioner
  • Neurologist
  • Physician Assistant
  • Nurse Practitioner
  • Dentist

 

Submitting claims to your health insurance for out-of-pocket CPAP and Oxygen expenses

The information below is only a guide of general instructions for filing an insurance claim on your own behalf for CPAP, BiPAP or oxygen supplies. Please verify with your insurance company prior to filing a claim. Contact the Member Services department of your insurance company to confirm that they allow subscribers to submit claims for medical expenses purchased out-of-pocket and find out their procedure for submitting claims. Most likely, they will have a Medical Claim Form for you to complete.

Many insurance providers require a HCPC (pronounced, “Hicks Picks”) code. This is an acronym for Healthcare Common Procedure Coding System and refers to the system of coding for services and equipment used by physicians, medical equipment suppliers, and insurance company’s code to be included with medical devices, supplies or equipment claims.

For your convenience we have provided a list of HCPCS codes below. Not all CPAP equipment is eligible for insurance reimbursement. Items such as CPAP bed pillows, batteries, and DC adapters are not covered and considered luxury items.

 

Attention Medicare Patients: Medicare does not allow patients to submit claims on their own behalf. These claims must be billed from a medical equipment company with a Medicare provider number.


Reimbursement (HCPCS) Codes

This table below is for reference only. Contact your insurance provider to verify codes and ensure accuracy. Each insurance provider is different and they can tell you exactly the steps to take to submit your claim.


CPAP/BiPAP MACHINE INSURANCE (HCPCS) CODES

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

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.

For a complete list and to learn more about HCPCS codes visit the Centers for Medicare & Medicaid Services.

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