Program Memorandum 
Carriers 
Department of Health & 
Human Services (DHHS) 
Centers for Medicare & 
Medicaid Services (CMS) 
Transmittal B-02-022 Date: APRIL 1, 2002 
CHANGE REQUEST 2076 
SUBJECT: Elimination of Certificate of Medical Necessity (CMN) Requirement for 
Continuous Positive Airway Pressure (CPAP) Device 
Background 
The CMN requirement for CPAP devices is being eliminated effective for dates of service on or after 
July 1, 2002. This coincides with the effective date of the revised local medical review policy on 
CPAP developed by the Durable Medical Equipment Regional Carriers (DMERCs). 
Implementation 
The code E0601 (CPAP device) needs to be removed from CWF category 59 (CMN required). 
The effective date for this Program Memorandum (PM) is July 1, 2002. 
The implementation date for this PM is July 1, 2002. 
These instructions should be implemented within your current operating budget. 
This PM may be discarded after July 1, 2003. 
If you have any questions, contact Angie Costello at (410) 786-1554 or acostello@cms.gov. 
CMS-Pub. 60B