T8160 A-B communication interface

T8160 A-B communication interface

Technical data of product parameters

Med Systems Inc. submitted a request to establish a new HCPCS Level II code to identify T8160
Electro Flo 6 Airway Clearance System. The Pricing, Data Analysis and Coding (PDAC)
contractor has coded the Electro Flo in E0480. This coding decision effectively denies patient
access to the Electro Flo because the payment for E0480 does not cover the cost of the
device. The proposed new HCPCS “E” code recognizes the Electro Flo’s technological and
therapeutic distinctions from other “powered percussor” airway clearance systems, and it
would enable the PDAC to price it appropriately. The Electro Flo Airway Clearance System’s
operating principle is actual percussion because it employs a “hammer and anvil” striking T8160
mechanism: the hammer is the handheld body of the power head; the anvil is the surface of
the power head that is held in contact with the chest. The force from the therapist’s hand
drives the hammer through a gap until it strikes the anvil and delivers its accumulated
momentum in a robust mechanical impact to the chest. The frequency of the impulse train can
be varied between about 4 and 20 Hz. An included self-administration strap enables the
patient to position the device anywhere on the front or back of the chest without assistance.
Because the Electro Flo provides true percussion (striking impact) to targeted areas of the
chest wall, it is the only powered percussor that accomplishes all the airway clearance T8160
functions of manual percussion: Powerful impulse waves that radiate into the chest and
generate mass airflow in the lungs with cephalad airflow bias and deliver high-frequency
vibrations that loosen secretions. HCPCS codes E0480, “Percussor, electric or pneumatic,
home model” and E0483, “High frequency chest wall oscillation system, includes all
accessories and supplies, each” are used for airway clearance devices. The terminology of
HCPCS code E0480 is vague and does not differentiate devices by their mechanism of action,
clinical utility, device complexity, or cost. The PDAC has created a local coverage policy
with a very restrictive definition E0483 that is independent of the HCPCS descriptions.
However, no such policy defines E0480, which serves as a catch-all for any device that does
not include a vest. The Electro Flo meets all the requirements for E0483 described in the
policy, except that it achieves high-frequency chest wall compression without the need for a
vest. Nevertheless, the PDAC has placed the Electro Flo impact percussor with two acoustic
vibrator devices in E0480. However, they are very different technologies with different
therapeutic characteristics, complexity, and cost. Because of the vast difference in payments
in E0480 and E0483, the PDAC coding decisions deny Medicare beneficiaries and the
beneficiaries of other health plans access to this therapeutically distinct technology

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