For a patient to order directly, Passy Muir requires a prescription from a doctor’s office. The prescription can be sent through fax or email. Please click here to download a prescription verification form. This form can be used as supplementary to the prescription. For more information, please give us a call 1 (800) 634-5397 Toll Free.

The prescription must include the following information:

  1. Billing address and phone number
  2. Shipping address (non-residential)
  3. Phone number and contact name
  4. Product Number, Price, and Quantity
  5. Shipping requirements (Ground or Priority)

*If there is any missing or incomplete information, a Customer Service Representative will need to contact you for verification purposes.

Shipping Policy

Because our products are prescription devices, we are prohibited from shipping our products to a patient’s home address or a P.O. Box. We can only ship to a doctor’s office or medical facility.

Refund Policy

Passy Muir products are prescriptive devices; therefore, our products are not returnable nor exchangeable.

Payment

The patient must pay out-of-pocket. We do not accept medical insurance as a form of payment. However, we can provide you with a billing code for our products that you may submit to your insurance provider for possible reimbursement. Please see our section on Insurance Coverage & Reimbursement.

Insurance Coverage & Reimbursement

Passy Muir does not accept medical insurances as a form of payment. However, we provide HCPCS Prosthetic Codes for our products that you may submit to your insurance provider for possible reimbursement. Please see below for more information or give us a call if you have further questions.

  1. HCPC Prosthetic code is L8501 for Valves
  2. HCPC Prosthetic code is E1399 for Adapters and Secure-Its