Library
- Order types
- Global documents

Order types

Search order types

Filter

Library
- Order types
- Global documents

BiPAP ST - Initial Coverage · Order types

Order types
BiPAP ST - Initial Coverage

BiPAP ST - Initial Coverage

· Updated Sep 1, 2026

Insurance payer

Humana Medicare Advantage

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

E0471

Required documents

None

Criteria

None

Accessory codes

E0471

E0471

None linked