![]() ![]() Hypersensitivity pneumonitis due to organic dust ICD-10 codes covered if selection criteria are met: Peak expiratory flow rate (physician services) Holding chamber or spacer for use with an inhaler or nebulizer with mask Holding chamber or spacer for use with an inhaler or nebulizer without mask Spacer, bag or reservoir, with or without mask, for use with metered dose inhalerĪsthma kit (including but not limited to portable peak expiratory flow meter, instructional video, brochure, and/or spacer) Peak expiratory flow rate meter, hand held HCPCS codes covered if selection criteria are met: Codes requiring a 7th character are represented by "+": Information in the below has been added for clarification purposes. Table: CPT Codes / HCPCS Codes / ICD-10 Codes Code Note: Peak flow meters should not be used to diagnose chronic obstructive pulmonary disease. ![]() This Clinical Policy Bulletin addresses peak flow meters.Īetna considers standard mechanical peak flow meters and spacers for metered-dose inhalers medically necessary durable medical equipment (DME) for members with asthma, bronchitis, emphysema, or other obstructive pulmonary conditions.Īetna considers electronic peak flow meters experimental and investigational because their effectiveness has not been established since there is inadequate evidence to show that electronic peak flow meters (e.g., the PeakLog Peak Flow Chronologger and the AirWatch Peak Flow Monitoring System) are associated with superior health benefits when compared to standard mechanical peak flow meters. ![]() Number: 0059 Table Of Contents Policy Applicable CPT / HCPCS / ICD-10 Codes Background References ![]()
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