Correct Coding - Porta-Lung Negative Pressure Ventilator - Revised - JA DME
Correct Coding - Porta-Lung Negative Pressure Ventilator - Revised
DME MAC Joint Publication
This article has been updated to include a change in HCPCS code assignment for billing the Porta-Lung® negative pressure ventilator. Code E0460 was originally assigned to this product effective January 1, 1990. Code E0460 was terminated from the HCPCS Code Set effective December 31, 2015. For dates of service on or after January 1, 2016, the Porta-Lung® negative pressure ventilator the correct code for billing of this item is:
E0466 HOME VENTILATOR, ANY TYPE, USED WITH NON-INVASIVE INTERFACE, (E.G., MASK, CHEST SHELL)
This code is all-inclusive. Use of any other code(s) to describe the Porta-Lung® negative pressure ventilator, including the miscellaneous code E1399 (DURABLE MEDICAL EQUIPMENT, MISCELLANEOUS), is incorrect coding.
All current DME products coded by the PDAC are found on the PDAC website on Durable Medical Equipment Coding System (DMECS), https://www.dmepdac.com/dmecsapp/. For questions about correct coding, contact the PDAC Contact Center at (877) 735-1326 during the hours of 8:30 a.m. to 4:00 p.m. CT, Monday through Friday, or e-mail the PDAC by completing the DME PDAC Contact Form located on the PDAC website: https://www.dmepdac.com/.
|Date of Change||Description|
|08/16/18||Updated HCPCS Code Assignment|
Last Updated Wed, 14 Jul 2021 15:50:45 +0000