Does A7021 require prior authorization?

No, A7021 does not require prior authorization (medium confidence). Covered without prior authorization by at least one policy, though another does not cover it.

What is the Medicare reimbursement rate for A7021?

Medicare facility rate: N/A. Non-facility rate: N/A. Work RVU: 0.00.

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`A7021`, Supplies and accessories for lung expansion airway clearance, continuous high

HCPCS/CPT

Prior Authorization

No Prior Auth Required

Covered without prior authorization by at least one policy, though another does not cover it (medium confidence)

Medicare Pricing

Work RVU

0.00

Facility

N/A

Non-Facility

N/A

Documentation Required

Medical records documentation may be required to assess whether the member meets the clinical criteria for coverage.

Key Coverage Criteria

High-frequency chest wall oscillation (HFCWO) system rental for 2 months is medically necessary for management of neuromuscular diseases, bronchiectasis, and cystic fibrosis when criteria are met.
2-month rental trial of a high-frequency chest wall oscillation (HFCWO) system is proven and medically necessary in the management of neuromuscular diseases, Bronchiectasis, and cystic fibrosis when criteria have been met.

4 Active Policies

ANTHEM-MP-A050283, Action

UHC-POL-airway-clearance-devices, Airway Clearance Devices

UMR-POL-UMR-airway-clearance-devices, Airway Clearance Devices

SUREST-POL-SUREST-airway-clearance-devices, Airway Clearance Devices

`A7021`, Supplies and accessories for lung expansion airway clearance, continuous high

Prior Authorization

Medicare Pricing

Documentation Required

Key Coverage Criteria

4 Active Policies

Related Codes

Have a follow-up question?

A7021, Supplies and accessories for lung expansion airway clearance, continuous high

Prior Authorization

Medicare Pricing

Documentation Required

Key Coverage Criteria

4 Active Policies

Related Codes

Have a follow-up question?

`A7021`, Supplies and accessories for lung expansion airway clearance, continuous high