HCPCS E0483
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.
AND
2.) Required: Daily productive cough for at least 6 continuous months.
OR
Frequent (i.e. more than 2/year) exacerbations requiring antibiotic therapy.
AND
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:
Physicians order that includes: AffloVest prescription, qualifying Dx, chart notes to support the Dx, and well-documented failure of standard treatments to adequately mobilize retained secretions.
G71.0349 Limb girdle muscular dystrophy due to other sarcoglycan dysfunction
G71.035 Limb girdle muscular dystrophy due to anoctamin-5 dysfunction
G71.038 Other limb girdle muscular dystrophy
G71.039 Limb girdle muscular dystrophy, unspecified
G71.09 Other specified muscular dystrophies
G71.11 Myotonic muscular dystrophy
G71.12 Myotonia congenita
G71.13 Myotonic chondrodystrophy
G71.14 Drug induced myotonia
G71.19 Other specified myotonic disorders
G71.2 Congenital myopathies
G71.21 Nemaline myopathy
G71.220 X-linked myotubular myopathy
G71.228 Other centronuclear myopathy
G71.29 Other congenital myopathy
G71.3 Mitochondrial myopathy not elsewhere classified
G71.8 Other primary disorders of muscles
G72.0 Drug-induced myopathy
G72.1 Alcoholic myopathy
G72.2 Myopathy due to other toxic agents
G72.89 Other specified myopathies
G73.7 Myopathy in diseases classified elsewhere
G82.50 Quadriplegia, unspecified
G82.51 Quadriplegia, C1-C4 complete
G82.52 Quadriplegia, C1-C4 incomplete
G82.53 Quadriplegia, C5-C7 complete
G82.54 Quadriplegia, C5-C7 incomplete
M32.82 Systemic sclerosis with myopathy
M33.02 Juvenile dermatopolymyositis with myopathy
M33.12 Other dermatopolmyositis with myopathy
M33.22 Polymyositis with myopathy
M33.92 Dermatopolymyositis, unspecified with myopathy
M34.82 Systemic sclerosis with myopathy
M35.03 Sicca syndrome with myopathy
G71.0349 Limb girdle muscular dystrophy due to other sarcoglycan dysfunction
G71.035 Limb girdle muscular dystrophy due to anoctamin-5 dysfunction
G71.038 Other limb girdle muscular dystrophy
G71.039 Limb girdle muscular dystrophy, unspecified
G71.09 Other specified muscular dystrophies
G71.11 Myotonic muscular dystrophy
G71.12 Myotonia congenita
G71.13 Myotonic chondrodystrophy
G71.14 Drug induced myotonia
G71.19 Other specified myotonic disorders
G71.2 Congenital myopathies
G71.21 Nemaline myopathy
G71.220 X-linked myotubular myopathy
G71.228 Other centronuclear myopathy
G71.29 Other congenital myopathy
G71.3 Mitochondrial myopathy not elsewhere classified
G71.8 Other primary disorders of muscles
G72.0 Drug-induced myopathy
G72.1 Alcoholic myopathy
G72.2 Myopathy due to other toxic agents
G72.89 Other specified myopathies
G73.7 Myopathy in diseases classified elsewhere
G80.0 Spastic quadriplegic cerebral palsy
G82.50 Quadriplegia, unspecified
G82.51 Quadriplegia, C1-C4 complete
G82.52 Quadriplegia, C1-C4 incomplete
G82.53 Quadriplegia, C5-C7 complete
G82.54 Quadriplegia, C5-C7 incomplete
M32.82 Systemic sclerosis with myopathy
M33.02 Juvenile dermatopolymyositis with myopathy
M33.12 Other dermatopolmyositis with myopathy
M33.22 Polymyositis with myopathy
M33.92 Dermatopolymyositis, unspecified with myopathy
M34.82 Systemic sclerosis with myopathy
M35.03 Sicca syndrome with myopathy