Updates to Cough Stimulating Device and Replacement Components Billing Policy

October 27, 2020

On October 16, 2019, Medi-Cal Provider Bulletin ‘Updated Medi-Cal Benefit for Cough Stimulating Device and Replacement Components’ informed providers that HCPCS code E0482 (cough stimulating device, alternating positive and negative airway pressure) was no longer limited to California Children’s Services (CCS) beneficiaries and that modifier NU would no longer be allowed. The Durable Medical Equipment (DME): Oxygen and Respiratory Equipment section of the Medi-Cal Provider Manual was updated accordingly.

On November 19, 2019, Medi-Cal NewsFlash Delayed Implementation for Cough Stimulating Device’ informed providers that the new billing policy was delayed in the Medi-Cal billing system and had not yet implemented. Providers were asked to submit claims as previously instructed. However, the Durable Medical Equipment (DME): Oxygen and Respiratory Equipment section did not reinstate the billing policy that was in place prior to October 16, 2019.

Effective for dates of service on or after December 1, 2020, the policy for HCPCS code E0482 that is currently stated in the Durable Medical Equipment (DME): Oxygen and Respiratory Equipment section of the Medi-Cal Provider Manual will be implemented in the Medi-Cal billing system.

More specific billing policy will be release in a future Medi-Cal Update. No action is required of providers in regard to claims that were submitted using the new policy.