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High Frequency Chest Wall Oscillation ICD-10 Codes

Refer to the Medicare’s LCD on HFCWO for official requirements and their HFCWO Policy article for a complete listing of ICD-10 codes.

Medicare requirements for bronchiectasis:

1. Required: CT Scan confirming diagnosis of bronchiectasis.
2. Required: Daily productive cough for at least 6 continuous months.
Frequent (i.e. more than 2/year) exacerbations requiring antibiotic therapy.
3. Required: Documentation (chart notes) of another treatment (flutter valve,
percussion, postural drainage, breathing techniques, suctioning) tried to mobilize
secretions and clearly indicating the other technique or device has failed.

ICD-10 Code  Description
J47.0 Bronchiectasis with acute lower respiratory infection
J47.1 Bronchiectasis with acute exacerbation
J47.9 Bronchiectasis, uncomplicated
Q33.4 Congenital bronchiectasis

Medicare requirements for other respiratory disorders, cystic fibrosis, neuromuscular conditions:

1. Include the covered ICD-10 diagnosis
2. Chart notes supporting the need for airway clearance for the diagnosis code
3. Details of tried, failed, or deemed inappropriate treatments (device or therapy)