E0465, Home ventilator, any type, used with invasive interface, (e.g., tracheostomyHCPCS/CPT
Prior Auth Required
Code explicitly requires prior authorization (high confidence)
HUMANA-MEDICAL-SUPPLIES-EQUIPMENT-AND-APPLIANCES-DURABLE-MEDICAL-EQUIPMENT-OK-MEDICAID, Medical Supplies, Equipment and Appliances Durable Medical Equipment
ANTHEM-CG-DME-26, Back-Up Ventilators in the Home Setting
EVICORE-HPLAN-CIGNA_MEDICARE-268F28B96146, Cigna Medicare Advantage Durable Medical Equipment Code List - Effective 01/01/2025
UHC-POL-dme-equipment-orthotics-ostomy-medical-supplies-repairs-replacements, Durable Medical Equipment, Orthotics, Medical Supplies, and Repairs/Replacements
AMBETTER-CP.MP.107, Durable Medical Equipment and Orthotics and Prosthetics Guidelines
AMBETTER-CP.MP.184, Home Ventilators
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