Positive Airway Pressure (PAP) Devices - JD DME
Positive Airway Pressure (PAP) Devices
The Standard Written Order (SWO) requirements are in effect for dates of service January 1, 2020 and after.
Refer to the SWO page for the elements needed in this streamlined order.
Coverage
- Continuous Positive Airway Pressure (CPAP) Therapy for Obstructive Sleep Apnea (OSA) (240.4) National Coverage Determination (NCD)
- PAP Local Coverage Determination (LCD) and Policy Article [PDF]
Documentation
- Clinician Letter - PAP Devices [PDF] - Letter may be sent to clinicians to help obtain documentation
- Clinician Letter - PAP Device Replacements [PDF] - Letter may be sent to clinicians to help obtain documentation
- PAP Devices - Clinician Frequently Asked Questions (FAQs) [PDF] - Letter for clinicians to assist in answering questions regarding PAP documentation
- PAP Devices Documentation Checklist [PDF] - Checklist to ensure suppliers gather all required documentation
Reviews/Audits
- Medical Review - View notifications/findings of pre/post claim reviews completed by Noridian Medical Review
Tips
Topic | Details |
---|---|
Adherence |
|
Change in Therapy |
|
Non-consumables |
|
PAP supplies |
|
Sleep Test |
|
Time Limit |
|
Treating Physician |
|
Trial Period |
|
Last Updated Wed, 27 Jan 2021 20:32:37 +0000
Related Articles
The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.