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BiPAP S - Initial Coverage · Order types

Order types
BiPAP S - Initial Coverage

BiPAP S - Initial Coverage

· Updated Sep 1, 2026

Insurance payer

Medicare

Service line

Positive Airway Pressure (PAP) Devices

Linked policies

Plan type

—

PBM

—

Classification

INITIATION, RUL

Diagnosis codes

G47.33, G47.30

States

—

Required documents

None

Criteria

None

Accessory codes

E0470

Required documents

None

Criteria

None

Accessory codes

E0470

E0470

None linked