Spirometers are Pulmonary Function Tests used to measure the volume/flow of inhaled and exhaled air.
The following providers may provide spirometers:
Providers must meet any provider criteria, including accreditation, for third party insurance or Medicare. This is to help members for whom MHCP is not the primary payer.
Spirometers are covered for MHCP members when medically necessary for home monitoring of respiratory or cardiovascular conditions.
Codes: A9284 (non-electronic), E0487 (electronic)
Only spirometers approved by the Food and Drug Administration (FDA) are covered. Do not use A9284 or E0487 for incentive spirometers.
Submit authorization request and required documentation to the authorization medical review agent.
When billing with an approved authorization:
Refer to the Billing section on the main Equipment & Supplies page and the Detailed Written Orders section for additional information.Report/Rate this page