Supplier Education on Use of Upgrades for Multi-Function Ventilators - Revised

MLN Matters Number: SE20012 Revised
Article Release Date: May 29, 2020

Note: CMS revised this article to show that the policy on use of multi-function ventilators, as discussed in the “What You Need to Know” section, is a permanent change.

Medicare’s multi-function ventilator policy applies to beneficiaries who are prescribed and meet the medical necessity coverage criteria for a ventilator and at least one of the four additional functions (namely, oxygen concentrator, cough stimulator, suction pump, and nebulizer). HCPCS code E0467 is used to describe multi-function ventilators. Starting in April 2020, the Centers for Medicare & Medicaid Services (CMS) permanently suspended claims editing for multi-function ventilators when there are claims for separate devices in history that have not met their reasonable useful lifetime.

View the complete CMS Medicare Learning Network (MLN) Matters Special Edition (SE)20012.


            Last Updated Wed, 09 Sep 2020 16:58:59 +0000