OptiLife

Part Numbers and Accessories


OptiLife Item Part Number HCPCS
Code(s)
OptiLife with Headgear and Chin Support Band
Sizes: P, S, M, L Pillows Cushions
1036800 A7034,A7035
OptiLife, Mask Only
Sizes: P, S, M, L Pillows Cushions
1036804 A7034
OptiLife Subassembly with Headgear and Chin Support Band
No Cushions
*Requires addition of mask cushion for HCPCS-A7034
1036818 A7035*
OptiLife Subassembly No Cushions
*Requires addition of mask cushion for HCPCS-A7034
1036819 *
OptiLife Replacement Parts & Accessories Part Number HCPCS
Code(s)
Pillows Cushion, 1 per Pack, Size P 1036838 A7033
Pillows Cushion, 1 per Pack, Size S 1036839 A7033
Pillows Cushion, 1 per Pack, Size M 1036840 A7033
Pillows Cushion, 1 per Pack, Size L 1036841 A7033
Headgear including Chin Support Band 1036850 A7035
Accessory Pouch 1036851 N/A
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