| ComfortGel
|
ITEM |
PART# |
HCPCS CODE(S) |
| PETITE MASK WITH HEADGEAR
|
1009040 |
A7034
& A7035 |
| SMALL MASK WITH HEADGEAR
|
1009041 |
A7034
& A7035 |
| MEDIUM MASK WITH HEADGEAR
|
1009042 |
A7034
& A7035 |
| LARGE MASK WITH HEADGEAR
|
1009043
|
A7034
& A7035 |
PART
AND ACCESSSORIES |
PART# |
HCPCS CODE(S) |
| PETITE MASK ONLY |
1010518 |
A7034
|
| SMALL MASK ONLY |
1010519 |
A7034
|
| MEDIUM MASK ONLY |
1010640 |
A7034
|
| LARGE MASK ONLY |
1010641 |
A7034
|
| DELUXE HEADGEAR |
1002800
|
A7035
|
| PETITE SILICONE FLAP |
1009052
|
A7032
|
| SMALL SILICONE FLAP
|
1009053
|
A7032
|
| MEDIUM SILICONE FLAP
|
1009054 |
A7032
|
| LARGE SILICONE FLAP
|
1009109 |
A7032
|
| PETITE GEL CUSHION
|
1009048 |
A7032
|
| SMALL GEL CUSHION |
1009049 |
A7032
|
| MEDIUM GEL CUSHION
|
1009050 |
A7032
|
| LARGE GEL CUSHION |
1009051 |
A7032
|
| FOREHEAD SUPPORT AND
PAD |
1018401 |
N/A
|
| SILICONE FOREHEAD PADS(4/PACK)
|
1009722 |
N/A
|
| BALL AND SOCKET SWIVEL
CLIPS (2/PACK) |
1009723 |
N/A
|
| EXHALATION ELBOW |
1010646
|
N/A
|
| MASK SWIVEL |
7041 |
N/A
|
| SPLIT WASHER KIT (5/EACH)
|
1002720 |
N/A
|
| 02 ENRICHMENT ATTACHMENT |
312500 |
N/A
|
| ComfortSelect
|
ITEM |
PART# |
HCPCS CODE(S) |
| SMALL MASK WITH HEADGEAR |
1007930 |
A7034
& A7035 |
| MEDIUM MASK WITH HEADGEAR
|
1007919
|
A7034
& A7035 |
| SMALL/WIDE MASK WITH
HEADGEAR |
1007931 |
A7034 & A7035 |
PARTS
AND ACCESSORIES |
PART# |
HCPCS CODE(S) |
| SMALL MASK ONLY |
1007933
|
A7034
|
| MEDIUM MASK ONLY |
1007932 |
A7034
|
| SMALL/WIDE MASK ONLY
|
1007934 |
A7034
|
| SMALL CUSHION WITH
RETAINING RING |
1007936
|
A7032
|
| MEDIUM CUSHION WITH
RETAINING RING |
1007935
|
A7032 |
| SMALL/WIDE CUSHION
WITH RETAINING RING |
1007937 |
A7032
|
| RETAINING RING |
1008814
|
N/A
|
| DELUXE HEADGEAR |
1002800
|
A7035
|
| FOREHEAD SUPPORT AND
PAD |
1018401 |
N/A
|
| SILICONE FOREHEAD PADS
(4/PACK) |
1009722
|
N/A
|
| BALL-AND-SOCKET SWIVEL
CLIPS (2/PACK) |
1009723
|
N/A
|
| EXHALATION ELBOW KIT
|
1004395 |
N/A
|
| MASK SWIVEL |
7041
|
N/A
|
| O2 ENRICHMENT
ADAPTER |
312710 |
N/A
|
| ComfortClassic |
ITEM |
PART# |
HCPCS CODE(S) |
| SMALL MASK WITH HEADGEAR
|
1007963 |
A7034 & A7035 |
| MEDIUM MASK WITH HEADGEAR
|
1007964 |
A7034 & A7035 |
PARTS
AND ACCESSORIES |
PART# |
HCPCS CODE(S) |
| SMALL MASK ONLY |
1007966 |
A7034
|
| MEDIUM MASK ONLY |
1007965 |
A7034
|
| DELUXE HEADGEAR ONLY
|
1002800 |
A7035 |
| GEL FOREHEAD SPACER
KIT (2/PACK) |
1002464 |
N/A
|
| SPLIT WASHER KIT |
1002720 |
N/A
|
| EXHALATION ELBOW KIT
|
1004395 |
N/A
|
| FOAM FOREHEAD SPACER
(5/PACK) |
1008651 |
N/A
|
| ComfortFull2 |
ITEM |
PART# |
HCPCS CODE(S) |
| SMALL MASK WITH HEADGEAR |
1004880 |
A7030 & A7035 |
| MEDIUM MASK WITH HEADGEAR
|
1004872 |
A7030 & A7035 |
| LARGE MASK WITH HEADGEAR
|
1004950 |
A7030 & A7035 |
| SMALL MASK ONLY |
1010868 |
A7030 |
| MEDIUM MASK ONLY |
1010869 |
A7030 |
| LARGE MASK ONLY |
1010870 |
A7030 |
| ComfortFull2
and ComfortFull |
PARTS
AND ACCESSORIES |
PART# |
HCPCS CODE(S) |
| COMFORTHEADGEAR |
1014333
|
A7035 |
| DELUXE HEADGEAR |
1002800
|
A7035
|
| FOREHEAD SUPPORT AND
PAD |
1018401 |
N/A
|
| SILICONE FOREHEAD PADS
(4/PACK) |
1009722 |
N/A
|
| ENTRAINMENT VALVE SWIVEL
|
1004871 |
N/A
|
| PORT CAP (5/PACK) |
1010872 |
N/A
|
| BALL-AND-SOCKET SWIVEL
CLIP (2/PACK) |
1009723 |
N/A
|
| ComfortLite2 |
ITEM |
PART# |
HCPCS CODE(S) |
| Mask Subassembly with
Headgear (No Cushions) |
1025225 |
A7034
|
Mask Subassembly (No
Cushions)
*requires addition of Mask cushion for HCPCS A7034
|
1025194 |
N/A* |
| Mask combo (Sizes:
Direct Seal: 4,5; Simple Cushions:S,M) with Headgear |
1025112 |
A7034
& A7035 |
| Mask combo (Sizes:
Direct Seal: 4,5; Simple Cushions:S,M) Mask Only
|
1025121 |
A7034
|
| Mask combo (Sizes:
Direct Seal: 5, 6; Simple Cushion: M, L) with Headgear
|
1025113 |
A7034
& A7035 |
| Mask combo (Sizes:
Direct Seal: 5, 6; Simple Cushion: M, L) Mask Only
|
1025122 |
A7034
|
Mask Packs with
One Cushion Style
ComfortLite 2 with Direct Seal cushion only (Sizes:4,5,6)
with Headgear |
1025127 |
A7034
& A7035 |
| ComfortLite 2 with
Direct Seal cushion only (Sizes:4,5,6) Mask Only
|
1025123 |
A7034
|
| ComfortLite 2 with
Simple Cushion only (Sizes: S,M,L) with Headgear
|
1025111 |
A7034
& A7035 |
| ComfortLite 2 with
Simple Cushion only (Sizes: S,M,L) Mask Only |
1025120 |
A7034
|
PARTS
AND ACCESSORIES |
PART# |
HCPCS CODE(S) |
| HEADGEAR |
1025117 |
A7035
|
| REAR STRAP, LONG |
1025114 |
N/A
|
| ComfortLite Direct
Seal Cushion - Size 1 (1/pack)* |
1021802 |
A7032
(Qty=1) |
| ComfortLite Direct
Seal Cushion - Size 2 (1/pack)* |
1021806 |
A7032
(Qty=1) |
| ComfortLite Direct
Seal Cushion - Size 3 (1/pack)* |
1021807 |
A7032
(Qty=1) |
| ComfortLite Direct
Seal Cushion - Size 4 (1/pack)* |
1021815 |
A7032
(Qty=1) |
| ComfortLite Direct
Seal Cushion - Size 5 (1/pack)* |
1021816
|
A7032
(Qty=1) |
| ComfortLite Direct
Seal Cushion - Size 6 (1/pack)* |
1021817 |
A7032
(Qty=1) |
| Comfort Lite SIMPLE
CUSHION - PETITE (1/pack)* |
1021835 |
A7032
(Qty=1) |
| Comfort Lite SIMPLE
CUSHION - Small (1/pack)* |
1021830 |
A7032 (Qty=1) |
| Comfort Lite SIMPLE
CUSHION - Medium (1/pack)* |
1021823 |
A7032 (Qty=1) |
| Comfort Lite SIMPLE
CUSHION - LARGE (1/pack)* |
1021821 |
A7032 (Qty=1) |
| * Also
Available in 5 packs. |
| DIRECT SEAL CUSHION
PACK - STANDARD 4,5,6 |
1018421 |
A7032
(Qty=3) |
| SIMPLE CUSHION PACK
- P, S |
1018418 |
A7032(Qty=2) |
| SIMPLE CUSHION PACK
- STANDARD S,M,L |
1018419 |
A7032
(Qty=3) |
| CUSHION COMBO PACK
4,5,S,M |
1018422 |
A7032(Qty=4)
|
| CUSHION COMBO PACK
5,6,M,L |
1018423 |
A7032
(Qty=4) |
| SIMPLE CUSHION ELBOW
(5/pack) |
1014206 |
N/A |
| SIMPLE CUSHION SIZING
GAUGE |
1018624 |
N/A |
| DIRECT SEAL CUSHION
SIZING GAUGE (20/pack) |
1018665 |
N/A |
| PILLOWS SIZING GAUGE
(5/pack) |
1032007 |
N/A |
| PILLOWS SIZING GAUGE
(20/pack) |
1031154
|
N/A |
| ComfortLite |
ITEM |
PART# |
HCPCS CODE(S) |
| Mask Subassembly with
Headgear (No Cushions) |
1025551 |
A703E
|
Mask Subassembly (No
Cushions)
*requires addition of Mask cushion for HCPCS A7034
|
1025550 |
N/A* |
| Mask combo (Sizes:
Direct Seal: 4,5; Simple Cushions:S,M) with Headgear
|
1014905 |
A7034
& A7035 |
| Mask combo (Sizes:
Direct Seal: 4,5; Simple Cushions:S,M) Mask Only
|
1014916 |
A7034
|
| Mask combo (Sizes:
Direct Seal: 5, 6; Simple Cushion: M, L) with Headgear |
1014906 |
A7034
& A7035 |
| Mask combo (Sizes:
Direct Seal: 5, 6; Simple Cushion: M, L) Mask Only
|
1014917 |
A7034
|
Mask Packs with
One Cushion Style
ComfortLite with Direct Seal cushion only (Sizes:4,5,6)
with Headgear |
1014907 |
A7034
& A7035 |
| ComfortLite with Direct
Seal cushion only (Sizes:4,5,6) Mask Only |
1014918 |
A7034
|
| ComfortLite with Simple
Cushion only (Sizes: S,M,L) with Headgear |
1014913 |
A7034
& A7035 |
| ComfortLite with Simple
Cushion only (Sizes: S,M,L) Mask Only |
1014919 |
A7034
|
PARTS
AND ACCESSORIES |
PART# |
HCPCS CODE(S) |
| HEADGEAR |
1014205 |
A7035 |
| REAR STRAP, LONG |
1020795 |
N/A
|
| ComfortLite Direct
Seal Cushion - Size 1 (1/pack)* |
1021802 |
A7032
(Qty=1) |
| ComfortLite Direct
Seal Cushion - Size 2 (1/pack)* |
1021806 |
A7032
(Qty=1) |
| ComfortLite Direct
Seal Cushion - Size 3 (1/pack)* |
1021807 |
A7032
(Qty=1) |
| ComfortLite Direct
Seal Cushion - Size 4 (1/pack)* |
1021815 |
A7032
(Qty=1) |
| ComfortLite Direct
Seal Cushion - Size 5 (1/pack)* |
1021816 |
A7032
(Qty=1) |
| ComfortLite Direct
Seal Cushion - Size 6 (1/pack)* |
1021817 |
A7032
(Qty=1) |
| Comfort Lite SIMPLE
CUSHION - PETITE (1/pack)* |
1021835 |
A7032
(Qty=1) |
| Comfort Lite SIMPLE
CUSHION - Small (1/pack)* |
1021830 |
A7032
(Qty=1) |
| Comfort Lite SIMPLE
CUSHION - Medium (1/pack)* |
1021823 |
A7032
(Qty=1) |
| Comfort Lite SIMPLE
CUSHION - LARGE (1/pack)* |
1021821 |
A7032
(Qty=1) |
| * Also
Available in 5 packs. |
| DIRECT SEAL CUSHION
PACK - STANDARD 4,5,6 |
1018421 |
A7032
(Qty=3) |
| SIMPLE CUSHION PACK
- P, S |
1018418 |
A7032(Qty=2)
|
| SIMPLE CUSHION PACK
- STANDARD S,M,L |
1018419 |
A7032
(Qty=3) |
| CUSHION COMBO PACK
4,5,S,M |
1018422 |
A7032(Qty=4)
|
| CUSHION COMBO PACK
5,6,M,L |
1018423 |
A7032
(Qty=4) |
| SIMPLE CUSHION ELBOW
(5/pack) |
1014206 |
N/A
|
| SIMPLE CUSHION SIZING
GAUGE |
1018624 |
N/A
|
| DIRECT SEAL CUSHION
SIZING GAUGE (20/pack) |
1018665 |
N/A
|
| PILLOWS SIZING GAUGE
(5/pack) |
1032007 |
N/A
|
| PILLOWS SIZING GAUGE
(20/pack) |
1031154 |
N/A
|
PartNumbers
