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Multi-Function Oscillation Lung Expansion Therapy - MEDICAID - VIRGINIA (New)
Effective date
Jul 1, 2025
Identified
Jun 24, 2026
Summary
Humana Medicaid in Virginia has established a new policy that does NOT cover Multi-Function Oscillation Lung Expansion (OLE) therapy devices, including both prescription devices like BiWaze Clear System and over-the-counter devices like Acapella. All claims for these services and devices will be denied.
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What to do
Action · 3 steps
01Before July 1, 2025: Billing team must update system to automatically deny/not bill HCPCS codes E0469 and E1399 for Humana Medicaid Virginia members when related to Multi-Function Oscillation Lung Expansion therapy.
02Notify respiratory therapy staff and providers that these devices are not covered.
03Claims submitted will be denied due to no covered indications.
Codes mentioned
E0469E1399
Original notice
Multi-Function Oscillation Lung Expansion Therapy - MEDICAID - VIRGINIA (New)
mcp.humana.com · Always check the source before changing claims.
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