Airway Clearance Devices | BCBS Montana | Backwork

Airway Clearance Devices

BCBS Montana · PayerPolicy · BCBSMT-DME101.027

Status: Active
Effective: December 1, 2025
Last checked by Backwork: October 1, 2026

Summary of the payer’s published policy. Not a coverage determination — confirm with BCBS Montana before submitting.

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Codes in this policy

Each code’s status is what the policy records for it. This page does not show the policy’s criteria. Read them in the payer’s source.

Codes this policy lists and each code’s status in the policy
Code	Code system	Status in this policy
94669	CPT	Covered
A7020	HCPCS	Covered
A7025	HCPCS	Covered
A7026	HCPCS	Covered
E0480	HCPCS	Covered
E0481	HCPCS	Covered
E0482	HCPCS	Covered
E0483	HCPCS	Covered
E0484	HCPCS	Covered
S8185	HCPCS	Covered