This functionality is implemented using Javascript. It cannot work without it, etc...

Estamos cargando la información...

Saltar al contenido

Non-Invasive Positive Airway Pressure for Chronic Obstructive Pulmonary

For patients with chronic obstructive pulmonary disease (COPD) without hypercapnia (PaCO2 < 52 mmHg) and with obstructive sleep apnea, see policy No. 2.01.18 (Diagnosis and Medical Management of Obstructive Sleep Apnea). Nocturnal bilevel positive airway pressure with backup rate may be considered medically necessary for patients with COPD and chronic respiratory failure (see Policy Guidelines) who meet either of the following: Chronic stable daytime (awake) hypercapnia (PaCO2> 52 mmHg) OR

Daytime (awake) hypercapnia (PaCO2> 52 mmHg) at least 2 weeks after discharge from the hospital for an acute exacerbation with decompensated acidosis.

Non-invasive home mechanical ventilation may be considered medically necessary for patients with COPD who meet the following criteria:

Qualify for a bilevel positive airway pressure device AND meet at least one of the following:

Higher pressure (eg, > 25 cm H2O) is needed to reduce hypercapnia than can be achieved with a bilevel device during titration; OR

Severe hypoxemia requiring FIO2 > 40% or > 5 L/min; OR

Daytime use (battery operated unit) is required to reduce hypercapnia.

Individuals with COPD who are started on bilevel positive airway pressure at discharge from hospitalization may continue for up to 3 months to provide time to stabilize and complete reevaluation..

Non-invasive positive airway pressure for COPD is considered investigational under all other conditions.

787-277-6653 787-474-6326