HFCWO vs MIE Qualification

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HFCWO and MIE Devices

High Frequency Chest Wall Oscillation (HFCWO) devices are covered for beneficiaries who meet criteria 1, 2, or 3 AND 4.

There is a diagnosis of cystic fibrosis (refer to the ICD-10 code list in the LCD-related Policy Article for applicable diagnoses). Critera 1

OR Critera 2

There is a diagnosis of bronchiectasis (refer to the “ ICD-10 code list in the LCD-related Policy Article for applicable diagnoses) which has been confirmed by a high resolution, spiral, or standard CT scan and which is characterized by:

Daily productive cough for at least 6 continuous months; OR

Frequent (i e , more than 2/year) exacerbations requiring antibiotic therapy

Chronic bronchitis and chronic obstructive pulmonary disease (COPD) in the absence of a confirmed diagnosis of bronchiectasis do not meet this criterion

OR Critera 3

The beneficiary has one of the following neuromuscular disease diagnoses (refer to the ICD-10 code list in the LCD-related Policy Article for applicable diagnoses):

Post-polio

Acid maltase deficiency

Anterior horn cell diseases

Multiple sclerosis Quadriplegia

Hereditary muscular dystrophy

Myotonic disorders

Other myopathies

Paralysis of the diaphragm

AND Critera 4

There must be well-documented failure of standard treatments to adequately mobilize retained secretions.

Mechanical in-exsufflation devices(E0482) are covered for beneficiaries who meet all of the following criteria;

Critera 1

They have a neuromuscular disease (refer to the ICD-10 code list in the LCD-related Policy Article for applicable diagnoses)

Critera 2

This condition is causing a significant impairment of chest wall OR/AND diaphragmatic movement, such that it results in an inability to clear retained secretions

Q u a d r i p l e g i a , C 5C 7 i n c o m p l e t e

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