Instruction manual
How to Obtain Supplies & How Often to Replace Items
How to Obtain Supplies
You may obtain replacement supplies by contacting the Mayo Clinic
Store. An order paid by credit card can be shipped immediately;
an order paid by check will be delayed until the check clears.
Your insurance company may pay for replacement sleep apnea
supplies. Your insurance company may have replacement criteria
that are similar to the Medicare guidelines below. You can call your
insurer if you are in doubt.
An item costing over $125 or items together costing over $125 are
shipped at no charge. Items less than $125 incur a $9.95 shipping
charge.
We can provide premium shipping services including Next Day and
Second Day. Charges for premium shipping services will be added
to the invoice. International orders will be charged according to the
destination.
Why should you obtain new supplies
every six months?
»»
Masks get brittle and dirty from continued use
»»
Bacteria will build up inside the tubing and mask
»»
If you are ill while using your sleep apnea device, you will need to
get new supplies once you are feeling better; viruses are known
to stay alive in moist and conned areas for several weeks
»»
Expendable supplies are not intended to be used indenitely
»»
Oils from your skin will cause the mask to lose elasticity, which
you will compensate for by over tightening the straps; this may
ultimately result in your facial skin breaking down
»»
Mask leaks will cause a loss of pressure and you will lose the
benets of your sleep apnea therapy
»»
Your skin may break down from continued use of a dirty mask
How Often May I Replace Items?
This chart is an approximate guide for Medicare and Medical
Assistance (Minnesota and Wisconsin) for expendable
replacements, which may be different from a commercial carrier’s
standards. HCPCS Code is a reference to the codes that Medicare
uses to identify products.
HCPCS CODE ITEM
MEDICARE
SCHEDULE
MN MEDICAID
SCHEDULE
WI MEDICAID
SCHEDULE
A7034 Nasal Mask 1 per 3 Months 1 per Dispensing Up To 3 per 365 Days 1 per 3 Months
A7030 Full Face Mask 1 per 3 Months 1 per Dispensing Up To 3 per 365 Days 1 per 3 Months
A7027 Combination Oral/Nasal Mask (Liberty) 1 per 3 Months 1 per Dispensing Up To 3 per 365 Days 1 per 3 Months
A7044 Oral Interface (Oracle) 1 per 6 Months 1 per Dispensing Up To 3 per 365 Days No Code
A7035 Headgear 1 per 6 Months 1 per 6 Months 1 per 3 Months
A7037 Tubing 1 per 3 Months 1 per Month 2 per 3 Months
A4604 Tubing With Heating Element 1 per 3 Months 1 per 3 Months No Code
A7036 Chinstrap 1 per 6 Months 1 per 6 Months 1 per 3 Months
A7034 & A7035 Swift/P10/Pilairo/Opus Complete Unit 1 per 6 Months 1 per 6 Months 1 per 3 Months
A7033 Nasal Pillows 2 per 1 Month 1 Unit 1 Pair per Month 1 per 3 Months
A7028
Oral Cushion For Combination Oral/Nasal
Mask (Liberty)
2 per 1 Month 1 per Month 1 per 3 Months
A7029
Nasal Pillow For Combination Oral/Nasal
Mask (Liberty)
2 per 1 Month 1 Unit 1 Pair per Month 1 per 3 Months
A7032 Nasal Mask Cushion 2 per 1 Month 1 per Month 1 per 3 Months
A7031 Full Face Mask Cushion 1 per 1 Month 1 per Month 1 per 3 Months
A7038 Disposable Filter (Ea) 2 per 1 Month 3 per Month 2 per Month
A7039 Washable Filter 1 per 6 Months 1 per Dispensing Up To 3 Per 365 Days 1 per 3 Months
A7046 Humidier Chamber 1 per 6 Months 5 per Month 4 per Month
Medicare and Medical Assistance require that we document that the person is continuing to use the sleep apnea device, the products need to be
replaced due to damage or wear and that the recipient is not receiving home health care or is not in a skilled nursing facility.
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