Oscillatory Devices for the Treatment of Cystic Fibrosis and Other Respiratory Conditions
High-frequency chest wall compression devices and intrapulmonary percussive ventilation devices may be considered medically necessary in individuals with cystic fibrosis or chronic diffuse bronchiectasis when standard chest physical therapy has failed or is unavailable or not tolerated. An oscillatory positive expiratory pressure device may be considered medically necessary in individuals with hypersecretory lung disease who have difficulty clearing secretions and recurrent disease exacerbations. Other applications, including use as an adjunct to chest physical therapy and use in chronic obstructive pulmonary disease or respiratory conditions associated with neuromuscular disorders, are considered investigational.