## **What is the HCPCS code E0482 for?**
The HCPCS code E0482 is meant to designate the provision of a cough-stimulating device that alternates positive and negative airway pressures to simulate a natural cough and aid in mucus secretion clearance. This device is classified as durable medical equipment, and it can help with airway clearance and improve a patient's lung function over time. It can also help reduce the patient's risk of getting a respiratory infection.
This device is often used for patients with the following problems:
- Chronic obstructive pulmonary disease
- Difficulty coughing effectively to get mucus/phlegm out
- Mucus build-up in the lungs
- Neuromuscular diseases
- Spinal cord injuries
- Muscular dystrophy
- ALS
- And those at risk of getting respiratory infections
Please don't mistake this for oxygen equipment.
## **Documentation requirements for E0482**
Before filing for claim for E0482, please familiarize yourself with LCD-related policy articles, CMS/Medicaid services guidelines to avoid claim rejections. Make sure you have sufficient documentation, too. Here are examples of what you need:
- The full name of the patient
- The full name and credentials of the healthcare provider handling the patient
- The patient's medical history and any relevant diagnoses to support medical necessity
- Any results from lung function tests before the use of the device
- Results that show significant impairment of the chest wall and/or diaphragmatic movement resulting in the inability to clear retained secretions
- Any proof that other treatments haven't worked (e.g., use of mucolytics, manual chest physiotherapy, etc.)
- Patient's treatment plan
- Standard written order
## **Billing requirements for E0482**
Besides the documentation above, please make sure to have or take note of the following:
- Relevant diagnosis and CPT codes
- Confirm that all the documentationn meets LCD guidelines and payment rules
- Proof that the device is not part of a ventilator rental phase
Remember that if you have anything missing or even if one bit of documentation doesn't meet coding standards, expect a claim rejection.
## **Other similar codes**
- **E0601**- Continuous positive airway pressure (cpap) device
- **G8852** - Positive airway pressure therapy prescribed
- **G8845** - Positive airway pressure therapy prescribed
- **E0562** - Humidifier, heated, used with positive airway pressure device
- **E0561** - Humidifier, non-heated, used with positive airway pressure device
- **A7038** - Filter, disposable, used with positive airway pressure device
Other similar codes are under the category of mechanical in-exsufflation devices.
Frequently asked questions
