Item Brochure

Item
Parts and accessories
Petite silicone replacement cushion
Small silicone replacement cushion
Medium silicone replacement cushion
Large silicone replacement cushion
Petite gel replacement cushion
Small gel replacement cushion
Medium gel replacement cushion
Large gel replacement cushion
Standard frame
RS frame
Standard headgear
RS headgear
Talon headgear clips
Premium forehead pad (silicone)
Sizing gauge
Entrainment valve swivel
Part number
U.S. HCPCS code
1090290
1090292
1090293
1090294
1090490
1090492
1090493
1090494
1090289
1090288
1090297
1090296
1071877
1040114
1090299
1081899
A7031
A7031
A7031
A7031
A7031
A7031
A7031
A7031
**
**
A7035
A7035
N/A
N/A
N/A
N/A
* Conguration contains mask assembly with headgear and same-size Silicone and Gel cushions.
** Requires addition of mask cushion for HCPCS A7030