How To Use HCPCS Code A7039

HCPCS code A7039 describes a non-disposable filter that is used with a positive airway pressure (PAP) device. This code is used to identify and bill for the specific filter used in conjunction with the PAP device. In this article, we will explore the details of HCPCS code A7039, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.

1. What is HCPCS A7039?

HCPCS code A7039 is used to identify a non-disposable filter that is utilized with a positive airway pressure (PAP) device. This code is specific to the filter and is not applicable for other components or accessories of the PAP device. It is important to use this code accurately to ensure proper billing and reimbursement.

2. Official Description

The official description of HCPCS code A7039 is “Filter, non-disposable, used with positive airway pressure device.” This description clearly indicates that the code represents a non-disposable filter that is utilized in conjunction with a PAP device.

3. Procedure

1. Ensure that the PAP device is properly set up and functioning.
2. Identify the need for a non-disposable filter based on the patient’s condition and the manufacturer’s recommendations.
3. Select the appropriate non-disposable filter for the specific PAP device being used.
4. Install the filter according to the manufacturer’s instructions, ensuring a secure fit.
5. Instruct the patient on the proper maintenance and replacement schedule for the filter.

4. When to use HCPCS code A7039

HCPCS code A7039 should be used when a non-disposable filter is utilized with a PAP device. It is important to note that this code is specific to the filter and should not be used for other components or accessories of the PAP device. The use of this code is determined by the healthcare provider based on the patient’s needs and the manufacturer’s recommendations.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code A7039, healthcare providers should ensure that the following documentation requirements are met:

• Medical record documentation supporting the medical necessity of the non-disposable filter
• Documentation of the specific PAP device being used
• Documentation of the patient’s condition or diagnosis warranting the use of the filter
• Documentation of the manufacturer’s recommendations for filter replacement

Providers should also follow the appropriate billing guidelines and submit the claim with the necessary supporting documentation to ensure accurate reimbursement.

6. Historical Information and Code Maintenance

HCPCS code A7039 was added to the Healthcare Common Procedure Coding System on January 01, 2003. Since its addition, there have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. This code has remained unchanged since its inception.

7. Medicare and Insurance Coverage

HCPCS code A7039 is eligible for coverage by Medicare and other insurance providers. The pricing indicator code for this code is 32, which indicates that it is considered inexpensive and routinely purchased durable medical equipment (DME). The multiple pricing indicator code is A, indicating that the code is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of when HCPCS code A7039 should be billed:

1. A patient with sleep apnea who uses a PAP device requires a non-disposable filter replacement.
2. A patient with respiratory allergies uses a PAP device and needs a non-disposable filter to reduce allergens.
3. A patient with a respiratory infection requires a non-disposable filter replacement to prevent contamination.
4. A patient with a chronic lung condition uses a PAP device and needs a non-disposable filter to maintain air quality.
5. A patient with a compromised immune system uses a PAP device and requires a non-disposable filter replacement to minimize the risk of infection.