A7049 Epap nasal valve
Also known as: EPAP valve, exhalation valve, nasal valve
Expiratory positive airway pressure nasal valve for delivering pressure during exhalation phase of breathing.
In Plain Language
breath-out pressure valve; nose pressure device; exhalation resistance
Clinical Context
Used with non-invasive ventilation systems to provide positive pressure during exhalation. Used in bilevel positive airway pressure therapy.
RVU Information
CPT A7049 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.
Billing & Documentation
HCPCS A-codes cover medical supplies, equipment, and transport services. Documentation must establish medical necessity and include a physician order. For durable medical equipment (DME), a Certificate of Medical Necessity (CMN) or detailed written order may be required.
Specialties
Frequently Asked Questions
What is CPT code A7049?
CPT A7049 (Epap nasal valve) is a A Codes code. Expiratory positive airway pressure nasal valve for delivering pressure during exhalation phase of breathing.
Does Medicare cover A7049?
Medicare coverage for A7049 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Used with non-invasive ventilation systems to provide positive pressure during exhalation. Used in bilevel positive airway pressure therapy. A physician order is typically required.
When is CPT A7049 used?
Used with non-invasive ventilation systems to provide positive pressure during exhalation. Used in bilevel positive airway pressure therapy.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.