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| Item | HCPCS Code | Medicare & Most Commercial Providers Resupply Allowance Schedule |
|---|---|---|
| Humidifier Chamber | A7046 | 1 per 6 months |
| Washable Filter | A7039 | 1 per 6 months |
| Disposable Filter (Ea) | A7038 | 2 per month |
| Tubing | A7037 | 1 per 3 months |
| Chinstrap | A7036 | 1 per 6 months |
| Headgear | A7035 | 1 per 6 months |
| Nasal Pillow Kit w/Headgear | A7034 & A7035 | 1 per 6 months |
| Nasal Mask | A7034 | 1 per 3 months |
| Nasal Pillows | A7033 | 2 per month |
| Nasal Mask Cushion | A7032 | 2 per month |
| Full Face Mask Cushion | A7031 | 1 per month |
| Full Face Mask | A7030 | 1 per 3 months |
| Tubing With Heating Element | A4604 | 1 per 3 months |