E0472, Respiratory assist device, bi-level pressure capability, with backup rateHCPCS/CPT
Prior Auth Required
At least one active policy explicitly requires prior authorization (high confidence)
EVICORE-HPLAN-CIGNA_MEDICARE-268F28B96146, Cigna Medicare Advantage Durable Medical Equipment Code List - Effective 01/01/2025
AMBETTER-CP.MP.71, Long Term Care Placement
Ask Backwork about documentation requirements, denial risks, or coverage in your state.