Products & ProgramsCommercialApril 1, 2021

CPT code E1399 not included in AIM Sleep Program effective April 1, 2021

Please be advised of the following update regarding the AIM Sleep Program CPT code E1399, NOC: Durable medical equipment, miscellaneous applicable to Anthem Commercial members.  
 

CPT code E1399 is not an appropriate billable code for continuous positive airway pressure (CPAP), automatic positive airway pressure (APAP) or bilevel positive airway pressure (BiPAP) equipment. When requesting authorization for CPAP, APAP, or BIPAP, please do NOT use a not otherwise classified (NOC) code. Instead, use the specific, appropriate code for each of these devices.

 

Effective April 1, 2021, code E1399 will no longer be part of AIM’s Sleep Therapy program and should not be submitted to AIM for review for CPAP, APAP, or BiPAP equipment.

 

1051-0421-PN-NE