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Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)

HCPCS code

Respiratory Assist Device, Bi-Level Pressure Capability, With Back-Up Rate Feature (E0471)

Name of the Procedure:

Common Name(s): BiPAP with Backup Rate
Medical Term: Bi-level Positive Airway Pressure with Back-Up Rate

Summary

A bi-level positive airway pressure (BiPAP) device with a backup rate is a non-invasive therapy used to assist breathing. The device delivers pressurized air through a mask to help keep the airways open and ensure proper ventilation, especially during sleep. It provides different pressure levels during inhalation and exhalation and includes a backup rate feature that triggers breaths if the patient’s breathing rate falls below a preset level.

Purpose

This device is primarily used to manage:

  • Sleep Apnea (both central and obstructive)
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Respiratory failure
  • Hypoventilation syndromes

The goal is to improve breathing, enhance oxygenation, and ensure consistent airflow, reducing symptoms like fatigue and shortness of breath.

Indications

  • Severe obstructive sleep apnea unresponsive to CPAP therapy
  • Central sleep apnea
  • Chronic respiratory failure
  • Patients needing ventilatory support outside of or supplementary to a hospital setting
  • Conditions like ALS or obesity hypoventilation syndrome that impair breathing

Preparation

  • Ensure the device is set up and calibrated by a healthcare professional.
  • Get fitted for a suitable nasal or facial mask.
  • Patients may need to undergo a polysomnography or sleep study to determine proper settings.
  • Follow any specific instructions regarding medication or physical activity.

Procedure Description

  1. Setup: The patient’s mask is properly fitted.
  2. Starting the Device: The BiPAP machine is switched on and adjusted to prescribed settings.
  3. Breathing: The machine begins delivering pressurized air through the mask. The device alternates between higher pressure during inhalation and lower pressure during exhalation.
  4. Back-Up Rate: If the patient’s breathing rate drops below a preset threshold, the machine automatically increases its rate to maintain adequate ventilation.

Tools/Equipment: BiPAP device, nasal or facial mask, tubing, humidifier (optional).

Anesthesia/Sedation: Not typically required.

Duration

The device is generally used nightly or during specific episodes requiring assistance, duration varies based on individual needs.

Setting

  • Home setting
  • Sleep labs for initial setup and periodic assessments

Personnel

  • Healthcare Providers: Respiratory therapists, sleep specialists, and nurses.
  • Technicians: Those trained in setting up and calibrating the BiPAP device.

Risks and Complications

Common risks:

  • Nasal dryness or congestion
  • Skin irritation from the mask
  • Mild discomfort or air leakage

Rare complications:

  • Pneumothorax (very rare)
  • Aspiration (in patients with swallowing difficulties)

Management typically involves consulting with healthcare providers for adjustments or addressing discomfort.

Benefits

  • Improved sleep quality
  • Enhanced daytime alertness
  • Reduced symptoms of respiratory distress
  • Better overall oxygenation and ventilation

Patients often notice benefits within a few nights to weeks of regular use.

Recovery

  • Immediate improvement in breathing during use.
  • Regular follow-ups are essential to adjust settings and mask fit.
  • Maintain regular cleaning of the device and mask.

Alternatives

  • Continuous Positive Airway Pressure (CPAP) without backup rate (for simpler cases).
  • Use of Oxygen therapy.
  • Surgical interventions (e.g., for severe obstructive sleep apnea).

    Pros and Cons:

  • CPAP is simpler but less effective for central apnea or severe cases.
  • Oxygen therapy doesn’t provide pressure support but may be necessary for hypoxemia.
  • Surgery could provide a more permanent solution but carries higher risks.

Patient Experience

  • Initial discomfort as the patient acclimatizes to the mask and pressure settings.
  • Minimal to moderate noise from the device.
  • Ongoing adjustments are often necessary to ensure comfort and effectiveness.
  • Pain management may include proper mask fitting and device adjustments to reduce pressure soreness.

Proper education and support help patients adapt smoothly to using the BiPAP device.

Medical Policies and Guidelines for Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)

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