What item number is CPAP on Medicare?

The specific item number for CPAP machines on the Medicare Benefits Schedule (MBS) in Australia is 12204. This item number is used for the supply of a CPAP (Continuous Positive Airway Pressure) machine to treat sleep apnea. This machine is intended for patients that require continuous positive airway pressure (CPAP) therapy.

In order to access this, the patient requires clearance by a qualified adult sleep medicine practitioner or consultant respiratory physician where a diagnosis of a sleep-related breathing disorder has been made with the following conditions:

  • Patients have not undergone positive airway pressure therapy in the previous 6 months
  • Professional attendance (face-to-face or video conference) with a qualified adult sleep medicine practitioner or a consultant respiratory physician

It’s important to note that the item number and associated benefits on the MBS can be subject to changes and updates. It’s recommended to consult the latest version of the MBS or contact Medicare directly for the most accurate and up-to-date information regarding item numbers and benefits related to CPAP machines.