Wiki DME Coding/Reimbursement - A7020 and LCD L33795

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Osseo, MN
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Hello! I'm looking for some insight from anyone with experience billing A7020 to Medicare for mechanical in-exsufflation devices ... the LCD is quite vague regarding accessories/supplies, but I am wondering if anyone has experienced difficulties or limitations billing A7020 for replacement circuits? More specifically, I'm wondering if and how to bill optional accessories that are not typically included in the initial circuit? If anyone with a DME-specialty would be willing to let me pick your brain, I'd greatly appreciate it!
 
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