Medicare Coverage for PAP and RAD Accessories

This guide provides detailed information regarding the reimbursement process for accessories used with Positive Airway Pressure (PAP) and Respiratory Assist Devices (RAD) under Medicare. It outlines the authorization requirements necessary for billing these accessories, which include masks, tubing, and filters. The document specifies that accessories are covered when the coverage criteria for the device are met, and it emphasizes the need for a written prescription from the treating practitioner. Additionally, it describes the steps suppliers must follow to ensure proper billing, including the necessity of contacting patients before dispensing supplies and maintaining accurate refill records. The guide also details the billing requirements for a three-month supply of accessories, including how to report the items on claim forms and the importance of verifying patient eligibility. Overall, this document serves as a comprehensive resource for understanding Medicare coding and coverage for PAP and RAD accessories.