basic sleep device DME orders

Length of need: Lifetime

Task: New Machine

Device Needed: CPAP

Pressure Settings: apap 11-15

EPR/Flex: 3

Humidifier: Heated Humidifier E0562

Mask/Nasal Systems: Nasal Mask 1 per 3 months A7034

Nasal Pillow System 1 per 3 months A7034

Full Face Mask 1 per 3 months A7030

Cushions/Pillows/Headgear: Replacement Nasal Cushion 2 per month A7032

Replacement Nasal Pillows 2 per month A7033

Full Face Cushion 1 per month A7031

Headgear 1 per 6 months A7035

Additional Equipment: Tubing 1 per 3 months A7037

Heated Tubing 1 per 3 months A4604

Filter disposable 2 per month A7038

Filter non disposable 1 per 6 months A7039

Chin Strap 1 per 6 months A7036

Water Chamber 1 per 6 months A7046

Date of last sleep study: 10/18/2024