Policy Updates Medical Policy & Clinical GuidelinesCommercialMarch 31, 2021

Update for commercial providers regarding the AIM Sleep Program CPT Code E1399, NOC: Durable medical equipment, miscellaneous

Beginning January 1, 2024, Empire became Anthem. This article, published under the former brand, now applies to Anthem.

CPT Code E1399 is not an appropriate billable code for CPAP/APAP/BiPAP.  When Providers are requesting CPAP/APAP/BIPAP, please do NOT use a NOC code, use the specific appropriate code for each of these devices. E1399 will no longer be part of AIM’s Sleep Therapy program as of 4/1/21 and should not be submitted to AIM for review for CPAP/APAP/BiPAP.

 

1051-0421-PN-NY

 

PUBLICATIONS: April 2021 Newsletter