Home Non-Invasive Positive Airway Pressure Devices for the Treatment of Respiratory Insufficiency and Failure
Summary
Nocturnal bilevel positive airway pressure (BPAP) with backup rate may be considered medically necessary for individuals with COPD and chronic respiratory failure who have chronic stable daytime (awake) hypercapnia with PaCO2 of 52 mmHg or higher, or daytime hypercapnia at least 2 weeks after discharge from a hospital stay for an acute exacerbation with decompensated respiratory acidosis. Bilevel positive airway pressure may also be considered medically necessary for thoracic restrictive disorders due to neuromuscular disease and for hypoventilation syndromes when the listed criteria are met. Non-invasive home mechanical ventilation may be considered medically necessary for COPD, hypoventilation syndromes and thoracic restrictive disorders due to neuromuscular disease when the listed criteria are met, and non-invasive positive airway pressure for COPD is considered investigational under all other conditions.
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