With proper maintenance a CPAP machine will last for up to 5 years (and possibly longer), but other aspects of the CPAP set-up will need to be replaced much more frequently. CPAP masks, especially, are designed to be disposable and replaceable after a period of about 3 months. The gentle materials that masks are made of (primarily silicone) are great for being non-irritating to human skin, but they break down easily and lose effectiveness relatively quickly. Regular mask cleaning and proper care can increase the life span of a CPAP mask.
Below is an example of a typical insurance replacement schedule. For many insurance plans, a CPAP user will be able to get new equipment after the set period of time has transpired. This is just one example of a typical supply replacement schedule, so your insurance policy may differ. Please contact Bill My Health Insurance to find out how often your plan allows for supply replacement.
HCPCS Code
A4604
A7027
A7028
A7029
A7030
A7031
A7032
A7033
A7034
A7035
A7036
A7037
A7038
A7039
A7046
E0470
E0471
E0561
E0562
E0601
CPAP Supply
Tubing with Heating Component
Combination Oral/Nasal CPAP Mask
Oral Cushion for Oral/Nasal Mask
Nasal Pillows for Oral/Nasal Mask
Full Face CPAP Mask
Full Face Mask Cushion
Nasal Mask Cushion
Nasal Pillows
Nasal or Nasal Pillows CPAP Mask
Headgear
Chin Strap
CPAP Tubing
Filter, Disposable
Filter, Non-disposable
Humidifier Chamber
Bilevel or BiPAP Machine
Bilevel or BiPAP Machine - ST
Cool Humidifier
Heated Humidifier
CPAP Machine
Replacement Schedule
1 per 3 months
1 per 3 months
2 per month
2 per month
1 per 3 months
1 per month
2 per month
2 pairs per month
1 per 3 months
1 per 6 months
1 per 6 months
1 per 3 months
2 per month
1 per 6 months
1 per 6 months
Determined by need
Determined by need
Determined by need
Determined by need
Determined by need
Bill My Health Insurance can also set you up on an automatic supply replacement schedule - we'll mail you new supplies and bill your insurance for their cost whenever you are eligible for replacements. You'll receive the replacement supplies you need without the hassle of placing an order or needing to contact us. Please contact Bill My Health Insurance for more questions about our supply replacement program or to find out how often your supplies can be replaced with your insurance plan.


