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Item # Product Description HCPCS
14911 AIR TUBING CONNECTOR,5 PACK
14915 SIDEPORT OXYGEN CONNECTOR
14922 AIR TUBING - GREY 3 METRE
14986 GREY TUBING, CUFFED, 6'6" (2 METERS)
14987 CLEAR TUBING, CUFFED, 6'6" (2 METERS)
14994 AIR TUBING - CLEAR GRAY RIBBED - 6' A7037
14999 AIR TUBING - CLEAR GRAY RIBBED - 9'
16015 CHIN RESTRAINT
16117 MIRAGE/ULTRA MIRAGE NASAL MASK HG A7035
16118 HEADGEAR SMALL A7035
16119 HEADGEAR, LARGE A7035
16120 Camouflage Headgear - medium A7035
16123 Leopard Headgear - medium A7035
16333 Mirage Micro Mask SML-AMER A7034 + A7035
16334 Mirage Micro Mask MED&LG-AMER A7034 + A7035
16335 Mirage Micro Mask LG-WD&XL-AMER A7034 + A7035
16378 Mirage Micro Frame Sys SML-US A7034
16379 Mirage Micro Frame Sys MED-US A7034
16380 Mirage Micro Frame Sys LG-US A7034
16381 Mirage Micro Frame Sys LG-WD-US A7034
16382 Mirage Micro Frame Sys XL-US A7034
16383 Mirage Micro Frame Assy SML-US
16384 Mirage Micro Frame Asy STD-US
16387 MIRAGE ACTIVA LT ELBOW
16388 Mirage Micro Cushion SML A7032
16389 Mirage Micro Cushion MED A7032
16390 Mirage Micro Cushion LG A703216391 Mirage Micro Cushion LG-WD A7032
16392 Mirage Micro Cushion XL A7032
16393 Mirage Micro, Forehead Support
16394 Mirage Micro, Mask Frame only, standard
16395 Mirage Micro, Mask Frame only, small
16399 MIRAGE ACTIVA LT ELBOW ASSEMBLY
16548 ULTRA MIRAGE II MASK SYS STD-USA A7034 + A7035
16549 ULTRA MIRAGE II MASK SYS LGE-USA A7034 + A7035
16550 ULTRA MIRAGE II MASK SYS SHW-USA A7034 + A7035
16556 UM/UMII CUSHION - STD A7032
16557 UM/UMII CUSHION - LARGE A7032
16558 UM/UMII CUSHION - SHALLOW A7032
16563 UM/UMII CUSHION CLIP
16565 UM/UMII SWIVEL
16566 UM/UMII ELBOW ASSEMBLY
16569 UM/UMII HEADGEAR CLIPS - 2PK
16570 UM/UMII PORTS CAP - 2PK
16572 UM/UMII ELBOW CLIP - 1PK
16575 UM/UMII VENT COVER - 1PK
16577 ULTRA MIRAGE II MASK SHW-WIDE US A7034 + A7035
16590 ULTRA MIRAGE II FOREHEAD SUPPORT
16594 ULTRA MIRAGE II FRAME ASSY USA
16604 FULL FACE MASK: CUSHION,SMALL. A7031
16605 FULL FACE MASK: CUSHION,MEDIUM A7031
16606 FULL FACE MASK: CUSHION, LARGE. A7031
16613 ANTI ASPHYXIA VALVE.
16617 FULL FACE MSK VALVE MEMBR. 1PK
16618 FULL FACE MSK VALVE MEMBR. 10PK
16624 FULL FACE MASK VALVE ELBOW 1 PK
ResMed Corp Product List
October 15, 2018
ResMed Confidential 11/8/2018 Page 1
Item # Product Description HCPCS
16637 FULL FACE MASK: SPARE CLIPS.
16671 MIRAGE FFM SER. 2 CUSH. SML-SHLW A7031
16672 MIRAGE FFM SER. 2 CUSH. MED-SHLW A7031
16673 MIRAGE FFM SER. 2 CUSH. LG-SHLW A7031
16674 MIRAGE FFM SYST. SER. 2 CUSH. CLIP SML
16675 MIRAGE FFM SER. 2 CUSH. CLIP MED
16676 MIRAGE FFM SYST. SER. 2 CUSH. CLIP LG
16689 MIRAGE FFM DETACHABLE SWIVEL
16726 ULTRA MIRAGE II FRAME SYS STD
16727 ULTRA MIRAGE II FRAME SYS SHLW
16728 ULTRA MIRAGE II FRAME SYS LGE
16734 UM/UMII HEADGEAR CLIPS - 10PK
16735 UM/UMII CUSHION SHALLOW-WIDE A7032
16736 ULTRA MIRAGE II FRAME SYS SHW-WD
17952 A/ST-A/S SPIRIT-S7E-VPAPIII CABLE
19613 Expiratory adapter cover
19614 Expiratory adapter membrane
19617 O2 sensor cover
19619 Battery cover
19620 Internal battery
19728 Air 10 Side Panel Door Charcoal
19729 Air 10 Filter Cover Charcoal
19734 Air 10 Fasica - Elite / AutoSet
19735 Air 10 Fascia - For Her
19736 AirCurve 10 Fascia
19766 Air 10 Side Panel Door Gray
19768 Air 10 Filter Cover Gray
21301 Double limb smooth bore 22 mm with water trap
21302 Double limb smooth bore 15 mm with water trap
21303 Double limb smooth bore 22 mm
21304 Double limb smooth bore 15 mm
21305 Double limb smooth bore 10 mm
21306 Double limb corrugated 22 mm with water trap
21307 Double limb corrugated 15 mm with water trap
21308 Double limb corrugated 22 mm
21309 Double limb corrugated 15 mm
21311 Single limb smooth bore 22 mm
21312 Single limb smooth bore 15 mm
21313 Single limb smooth bore 22 mm with water trap
21314 Single limb smooth bore 22 mm with water trap
21321 Single limb corrugated 22 mm
21322 Single limb corrugated 15 mm
21323 Double limb coaxial
21324 Single limb corrugated 22 mm with water trap
21325 Single limb corrugated 15 mm with water trap
21341 Catheter mount smooth bore with port 22 F
21342 Catheter mount corrugated with port 22 F
21343 Catheter mount pediatric 15M
21351 Mouthpiece angled 15M
21353 Mouthpiece angled 17 cm tube 22 F
21354 Mouthpiece angled 15F/22M
22201 RESSCAN SERIAL ADAPTER
22203 RESSCAN USB ADAPTER
22212 SMARTMEDIA CARD READER II (USB)
22321 Effort Sensor for ApneaLink Air and ApneaLink Plus
22337 Single Use sensor, 36" (value line) - 24 pack, replaces #70412
22354 ApneaLink Air Complete Kit
22371 XPOD oximeter clip
22372 ApneaLink Software CD 10.1 (compatible with all devices)
22373 ApneaLink Carry Bag
ResMed Confidential 11/8/2018 Page 2
Item # Product Description HCPCS
22374 ResMed XPOD oximeter
22375 micro USB download cable for ApneaLink Air
22906 Protective Folder (no data card) - 10 pack
22915 RESSCAN DATA CARD MODULE
24161 Stellar 150 v1.5 Americas
24163 Stellar 100 v1.5 Americas
24905 Standard stand (without top plate)
24913 VPAP Series top plate
24917 Premium circuit support arm
24919 Tube clip–double
24920 Tube clip–single
24922 Stellar DC Converter
24923 Battery and bag
24927 H4i Heated Humidifier for Stellar E0562
24933 Stellar filter - hypoallergen - 1 pack
24934 Stellar filter - hypoallergen - 12 pack
24935 ResMed USB Data Storage Stick
24943 RPSII - Velcro Strap
24946 RPSII - PSU Adaptor
24947 ResMed Power Station II
24952 RSPII – Carry Bag
24955 FiO2 Monitoring Kit
24959 DC cable, Stellar
24960 RPSII – DC Cable, S8 VPAP
24961 DC cable, S9 Series
24964 Battery coupler kit
24966 Antibacterial Filter 50pk
24967 HME Filter - Adult 50pk
24968 HME Filter-Ped Small Angled 50pk
24969 HME filter-Ped 50pk
24971 O2 Coupling Insert
24976 ResMed Leak Port
24977 Stellar Mobility bag
24981 RPSII – DC Cable, Stellar, 0.5 m
24991 RESMED LEAK VALVE - AMERICAS
24994 DC cable, RPSII - Astral
26905 ACS2/Adapt/III ST-A Pwr Crd Amer
26923 VPAP ADAPT SV AIR DELIVERY SYST.
26924 VPAP ADAPT SV SENSOR TUBING
26925 VPAP ADAPTS SV TUBE CLIPS 9pk
26931 VPAP Adapt SV Proximal Cuff
26952 H4i WATER CHAMBER - STANDARD - DISPOSABLE A7046
26953 H4i TOP COVER AND SEAL
26954 H4i TUB PLATE SEAL
26955 H4i CLEANING PLUG
26958 H4i WATER CHAMBER - CLEANABLE
26960 OXYGEN PORT
27001 Astral™ 100 Adult and Pediatric Ventilator E0465 + A9279 OR E0466 + A9279
27003 Astral™ 150 Adult and Pediatric Ventilator E0465 + A9279 OR E0466 + A9279
270013 ASTRAL 100 WITH RCM 2YR DATA
270014 ASTRAL 150 WITH RCM 2YR DATA
27201 RESMED CONNECTIVITY MODULE AMER
27903 Remote Alarm II, Americas
27904 Remote Alarm II Cable 2 m
27905 Remote Alarm II Cable 5 m
27906 Remote Alarm II Cable 10 m
27907 Remote Alarm II Cable 20 m
27912 30m Hospital Alarm System Cable
27915 Astral table stand
27917 Astral mobility bag
ResMed Confidential 11/8/2018 Page 3
Item # Product Description HCPCS
27919 Astral external battery
27925 Astral DC adapter (car adapter)
27928 Astral Trolley Base Plate
27929 Astral Trolley Storage Bin
27930 Astral Trolley Cylinder Mount
27931 Hospital Trolley Power Strip
27935 Astral oxygen sensor
27936 Expiratory flow sensor
27937 Presssure sensor filter X40 - Astral
27939 Inlet filter (4 pk)
27940 Double limb adapter
27941 Single limb valve adapter
27942 Single limb leak adapter
27945 Astral carry bag
27948 Homecare Stand IV Pole Kit
27949 Astral SlimFit Mobility Bag
27953 RCM USB CABLE MICRO-MINIB 1.8M
27954 RCM POWER SUPPLY
27955 MPV Support Arm
27956 Astral Top Plate
27959 AIR 10 SERIES TOP PLATE
27960 Replacement Screw Kit for Top Plate
27961 Astral Base Plate
27962 Replacement Casters for Astral Homecare Stand
27963 Homecare Stand without Top Plate
27966 Astral PSU Slim Line
27967 Power Cord Right Angle
27980 DOUBLE LIMB ADAPTER CC - ASTRAL (replaces 27940)
28210 AirCurve 10 ST-A with Humidifier E0470 + E0562 + A9279 + A7037
28211 AirCurve 10 ST-A with Humidifier and ClimatelineMax Oxy Tubing E0470 + E0562 + A9279 + A4604
30907 AUTOSET SPIRIT FILTER - 3PK
30908 AUTOSET SPIRIT FILTER - 50PK
30909 AUTOSET SPIRIT FILTER COVER
30912 HUMIDAIRE 2i SEAL, WATER CHAMBER
30914 HUMIDAIRE 2i TUB PLATE, WATER CHAMBER
30915 HUMIDAIRE 2i O RING, WATER CHAMBER
30919 AUTOSET SPIRIT FILTER - 1PK
30938 HUMIDAIRE 2i CROSS MEMBER, PC
30939 HUMIDAIRE 2i LATCH, PC
30951 HUMIDAIRE 2i TUB ASSY, PC
30955 HUMIDAIRE 2i SIDE CATCHES, PC
30961 HUMIDAIRE 2i BASE PC - SIDE CATCH
30964 S7/VPAPIII HOSPITAL CART
33915 S8/TYPE A STD FILTERS - 1 PACK
33918 S8/TYPE A STD FILTERS - 50 PACK
33919 S8/TYPE A HYPO FILTERS - 1 PACK
33922 S8/TYPE A HYPO FILTERS - 50 PACK
33923 S8 FILTER COVER
33926 H3i PC TOP COVER & SEAL
33927 H3i TOP COVER SEAL
33947 HUMIDAIRE 3i CLEANING PLUG PACK
33948 S8 CONNECTOR PLUG - 10 PACK
33959 BLUE FILTER COVER FOR S8
33963 Tubing Wrap
33973 S8, S8 II AND C-SERIES TANGO FILTERS - 2 PACK
33974 S8, S8 II AND C-SERIES TANGO FILTERS - 12 PACK
33975 S8, S8 II AND C-SERIES TANGO HYPO FILTERS - 2 PACK
33976 S8, S8 II AND C-SERIES TANGO HYPO FILTERS - 12 PACK
36034 VPAP COPD E0470 + A9279
36800 H5i Cleanable Water Tub
ResMed Confidential 11/8/2018 Page 4
Item # Product Description HCPCS
36803 H5i Water Tub A7046
36810 SlimLine Tubing A7037
36811 Tubing Wrap SlimLine
36821 S9 PSU 90W with power cord
36830 S9 PWR CORD, USA FIG 8
36840 SD Card 10 Pack A9279
36845 Protective Folder without SD card - 10 pack
36850 S9 FILTER, STD 1 PACK
36851 S9 FILTER, STD 2 PACK
36852 S9 FILTER, STD 12 PACK
36853 S9 FILTER, STD 50 PACK
36855 S9 FILTER, HYPO, 1 PACK
36856 S9 FILTER, HYPO, 2 PACK
36857 S9 FILTER, HYPO, 12 PACK
36858 S9 FILTER, HYPO, 50 PACK
36859 S9 Filter Cover
36860 S9 TRAVEL BAG
36891 H5i Flip Lid Assembly
36892 H5i Tub Seal
36894 H5i Outlet Clip & Fitting
36900 H5i - AMERICAS E0562
36901 H5i Cleanable - Americas
36920 S9 30W POWER SUPPLY UNIT
36931 SD CARD READER A9279
36940 S9 OXIMETRY ADAPTER
36941 S9 OXIMETER CONVERTER CABLE
36950 S9 USB Adapter
36955 S9 Embletta Adapter
36970 DC/DC converter - 24V/90W output
36995 ClimateLine Tubing A4604
36996 H5i ClimateLine MAX Oxy Tubing - 1 pack A4604
36997 H5i ClimateLine MAX Tubing - 1 pack A4604
37203 AirSense 10 CPAP with HumidAir™ E0601 + E0562 + A9279 + A7037
37204 AirSense 10 CPAP with HumidAir and ClimateLineAir™ E0601 + E0562 + A9279 + A4604
37205 AirSense 10 Elite with HumidAir E0601 + E0562 + A9279 + A7037
37206 AirSense 10 Elite with HumidAir and ClimateLineAir E0601 + E0562 + A9279 + A4604
37207 AirSense 10 AutoSet with HumidAir E0601 + E0562 + A9279 + A7037
37208 AirSense 10 AutoSet with HumidAir and ClimateLineAir E0601 + E0562 + A9279 + A4604
37209 AirSense 10 AutoSet For Her with HumidAir E0601 + E0562 + A9279 + A7037
37210 AirSense 10 AutoSet For Her with HumidAir and ClimateLineAir E0601 + E0562 + A9279 + A4604
37211 AirCurve 10 Vauto with HumidAir E0470 + E0562 + A9279 + A7037
37212 AirCurve 10 Vauto with HumidAir and ClimatelineAir E0470 + E0562 + A9279 + A4604
37213 AirCurve 10 S with HumidAir E0470 + E0562 + A9279 + A7037
37214 AirCurve 10 S with HumidAir and ClimatelineAir E0470 + E0562 + A9279 + A4604
37215 AirCurve 10 ASV with HumidAir E0471 + E0562 + A9279 + A7037
37216 AirCurve 10 ASV with HumidAir and ClimatelineAir E0471 + E0562 + A9279 + A4604
37296 ClimateLineAir Heated Tube A4604
37297 Air 10 DC-DC Converter
37299 HumidAir Standard Water Tub A7046
37479 HumidAir Cleanable Water Tub - replaces 37300
37302 Air 10 Oximetry Module
37303 Air 10 Side Cover Charcoal
37304 Air 10 Travel Bag
37305 Air 10 Travel Bag for Her
37306 AirCurve 10 ST with HumidAir E0471 + E0562 + A9279 + A7037
37307 AirCurve 10 ST with HumidAir and ClimatelineAir E0471 + E0562 + A9279 + A4604
37310 Air 10 Air Outlet
37329 Air 10 SD Card Folder with SD cards (10pk)
37330 Air 10 SD Card Folder 10 pk (Folder only)
ResMed Confidential 11/8/2018 Page 5
Item # Product Description HCPCS
37333 Air 10 SD Card Folder with SD card (1pk)
37335 Air 10 Side Cover Gray
37342 Air10™ Power Supply Unit Adapter
37343 ResMed™ Power Station II - Air10™ DC Cable
37344 Air 10 90W Power Supply
37357 ClimateLine Air Oxy Tubing A4604
37394 Air 10 Tubing Elbow
38113 AirMini AutoSet
38808 HumidX - Standard - 50-pack
38809 HumidX - Standard - 3-pack
38810 HumidX - Standard - 6-pack
38811 HumidX - Plus - 50-pack
38812 HumidX - Plus - 3-pack
38813 HumidX - Plus - 6-pack
38814 AirMini Filter - 1-pack
38815 AirMini Filter - 2-pack
38816 AirMini Filter - 12-pack
38822 AirMini Tube
38823 AirMini N20 Setup Pack
38824 AirMini P10 Mask Pack
38825 AirMini F20 Setup Pack
38826 AirMini Drawstring Bag
38828 AirMini 20W Power Supply
38837 AirMini Filter - 50-pack
38839 AirMini DC/DC Converter
38840 AirMini Premium Carry Bag
38841 AirMini Hard Travel Case
38842 AirMini Bed Caddy
38843 AirMini F20 Connector for AirMini
38844 AirMini N20 Connector for AirMini
38845 AirMini P10 Connector for AirMini
38848 AirMini Filter Cover
60000 MIRAGE VISTA STD USA A7034 + A7035
60001 MIRAGE VISTA DEEP USA A7034 + A7035
60013 VISTA/KIDSTA CUSHION SML A7032
60014 MIRAGE VISTA SWIVEL ASSY 10pk
60100 MIRAGE ACTIVA MASK SYST STD-USA A7034 + A7035
60101 MIRAGE ACTIVA MASK SYST LGE-USA A7034 + A7035
60102 MIRAGE ACTIVA MASK SYST SHLW-USA A7034 + A7035
60111 MIRAGE ACTIVA FRAME SYST STD-USA
60112 MIRAGE ACTIVA FRAME SYST LG-USA
60113 MIRAGE ACTIVA FRAME SYST SHLW-USA
60115 ACTIVA/UMFFM HEADGEAR CLIP 2PK
60116 ACTIVA/UMFFM HEADGEAR CLIP 10PK
60117 MIRAGE ACTIVA CUSHION-STD A7032
60118 MIRAGE ACTIVA CUSHION-LG A7032
60119 MIRAGE ACTIVA CUSHION-SHLW A7032
60120 MIRAGE ACTIVA CUSHION CLIP
60121 MIRAGE ACTIVA FRAME
60122 MIRAGE ACTIVA T-BAR
60123 ACTIVA/UMFFM/UMII FORHD PADS 1PK
60124 ACTIVA/UMFFM/UMII FORHD PAD 10PK
60125 MIRAGE ACTIVA ELBOW ASSEMBLY
60144 Mirage Activa Frame Assembly
60148 MIRAGE ACTIVA LT NASAL MASK SYSTEM - MEDIUM A7034 + A7035
60149 MIRAGE ACTIVA LT NASAL MASK SYSTEM - LARGE A7034 + A7035
60150 MIRAGE ACTIVA LT NASAL MASK SYSTEM - LARGE WIDE A7034 + A7035
60172 MIRAGE ACTIVA LT FRAME SYSTEM - MEDIUM A7034
60173 MIRAGE ACTIVA LT FRAME SYSTEM - LARGE A7034
60174 MIRAGE ACTIVA LT FRAME SYSTEM - LARGE WIDE A7034
ResMed Confidential 11/8/2018 Page 6
Item # Product Description HCPCS
60175 MIRAGE ACTIVA LT FRAME ASSEMBLY
60176 MIRAGE ACTIVA LT CUSHION CLIP
60177 MIRAGE ACTIVA LT CUSHION AND CLIP - MEDIUM A7032
60178 MIRAGE ACTIVA LT CUSHION AND CLIP - LARGE A7032
60179 MIRAGE ACTIVA LT CUSHION AND CLIP - LARGE WIDE A7032
60180 MIRAGE ACTIVA LT MASK FRAME ONLY
60182 MIRAGE ACTIVA LT NASAL MASK SYSTEM - SMALL A7034 + A7035
60193 MIRAGE ACTIVA LT MASK FRAME ONLY - SMALL
60195 MIRAGE ACTIVA LT FRAME SYSTEM - SMALL A7034
60196 MIRAGE ACTIVA LT FRAME ASSEMBLY - SMALL
60197 MIRAGE ACTIVA LT CUSHION CLIP - SMALL
60198 MIRAGE ACTIVA LT CUSHION AND CLIP - SMALL A7032
60404 NV ULTRA MIRAGE MASK SYS STD USA
60405 NV ULTRA MIRAGE MASK SYS LGE USA
60406 NV ULTRA MIRAGE MASK SYS SHLW USA
60512 MIRAGE SWIFT II MASK SYS - USA A7034 + A7035
60523 MIRAGE SWIFT HEADGEAR BUCKLE 4pk
60524 MIRAGE SWIFT SEAL RING, 10pk
60525 MIRAGE SWIFT CAP
60526 MIRAGE SWIFT HEADGEAR A7035
60528 MIRAGE SWIFT SHORT TUBE ASSY 1pk
60529 MIRAGE SWIFT SHORT TUBE ASSY 10pk
60530 MIRAGE SWIFT TUBE RETAINER 3pk
60536 Mirage Swift II Frame System
60537 MIRAGE SWIFT II FRAME SYS - SML
60538 MIRAGE SWIFT II FRAME SYS - MED
60539 MIRAGE SWIFT II FRAME SYS - LGE
60540 MIRAGE SWIFT II CLIP
60541 MIRAGE SWIFT II PILLOW SML A7033
60542 MIRAGE SWIFT II PILLOW MED A7033
60543 MIRAGE SWIFT II PILLOW LGE A7033
60544 Mirage Swift II Frame Assembly
60549 Pressure Port Plug - 1pk
60558 SWIFT LT HEADGEAR BUCKLE (BACK) - 1 PACK
60560 SWIFT LT NASAL PILLOW SYSTEM A7034 + A7035
60571 SWIFT LT SMALL DUAL-WALL PILLOW SLEEVE A7033
60572 SWIFT LT MEDIUM DUAL-WALL PILLOW SLEEVE A7033
60573 SWIFT LT LARGE DUAL-WALL PILLOW SLEEVE A7033
60574 SWIFT LT EXTRA SMALL DUAL-WALL PILLOW SLEEVE A7033
60575 SWIFT LT FRAME ONLY
60577 SWIFT LT SHORT TUBE ASSEMBLY
60578 SWIFT LT HEADGEAR A7035
60579 SWIFT LT HEADGEAR BUCKLE (TOP) - 1 PACK
60581 SWIFT LT FRAME ASSEMBLY
60582 SWIFT LT FRAME SYSTEM WITH SMALL DUAL-WALL PILLOWS
60583 SWIFT LT FRAME SYSTEM WITH MEDIUM DUAL-WALL PILLOWS
60584 SWIFT LT FRAME SYSTEM WITH LARGE DUAL-WALL PILLOWS
60585 SWIFT LT FRAME SYSTEM WITH EXTRA SMALL DUAL-WALL PILLOWS
60586 SWIFT LT TUBE RETAINER - PLASTIC
60588 SWIFT LT FOR HER NASAL PILLOWS SYSTEM A7034 + A7035
60595 SWIFT LT FOR HER HEADGEAR A7035
60597 SWIFT LT FOR HER HEADGEAR BUCKLE - TOP - 1 PACK
60598 SWIFT LT FOR HER TUBE RETAINER - PLASTIC
60599 SWIFT LT SOFT WRAPS
60600 ULTRA MIRAGE FFM SYS SML STD-USA A7030 + A7035
60601 ULTRA MIRAGE FFM SYS SML SHW-USA A7030 + A7035
60602 ULTRA MIRAGE FFM SYS MED STD-USA A7030 + A7035
60603 ULTRA MIRAGE FFM SYS MED SHW-USA A7030 + A7035
60604 ULTRA MIRAGE FFM SYS LG STD-USA A7030 + A7035
60605 ULTRA MIRAGE FFM SYS LG SHW-USA A7030 + A7035
ResMed Confidential 11/8/2018 Page 7
Item # Product Description HCPCS
60620 UM FFM FRAME SYS. SML STD
60621 UM FFM FRAME SYS. SML SHLW
60622 UM FFM FRAME SYS. MED STD
60623 UM FFM FRAME SYS. MED SHW
60624 UM FFM FRAME SYS. LG STD
60625 UM FFM FRAME SYS. LG SHW
60636 NV UMFFM SYS SML SHW-USA
60637 NV UMFFM SYS SML STD-USA
60638 NV UMFFM SYS MED SHW-USA
60639 NV UMFFM SYS MED STD-USA
60640 NV UMFFM SYS LGE SHW-USA
60641 NV UMFFM SYS LGE STD-USA
60666 Ultra Mirage FFM Frame Assy-SML
60667 Ultra Mirage FFM Frame Assy-MED
60668 Ultra Mirage FFM Frame Assy-LGE
60670 UM FFM MASK Frame - SML
60671 UM FFM MASK FRAME - MED
60672 UM FFM MASK FRAME - LG
60673 UM FFM FOREHEAD SUPPORT
60674 UM FFM HEADGEAR AND CLIPS A7035
60680 UM FFM SWIVEL CLIP
60681 UM FFM LUER LOCK 2 PACK
60682 UM FFM LUER LOCK 10PK
60683 UM FFM ELBOW CLIP
60740 SWIFT LT FOR HER HEADGEAR BUCKLE - BACK - 1 PACK
60741 SWIFT LT FOR HER HEADGEAR BUCKLE - BACK - 10 PACK
60742 SWIFT LT SHORT TUBE ASSEMBLY - 10 PACK
60917 NV ULTRA MIRAGE HEADGEAR
60918 HEADGEAR ASSY MIRAGE VISTA STD A7035
60919 HEADGEAR CLIP MIRAGE VISTA (2pk)
60921 CUSHION, STD MIRAGE VISTA A7032
60922 CUSHION, DEEP MIRAGE VISTA A7032
60924 FRAME, MIRAGE VISTA
60926 INLET TUBE W/- SWIVEL (1pk)
60927 INLET TUBE W/- SWIVEL (10pk)
60928 MIRAGE VISTA FRAME ASSEMBLY USA
60929 MIRAGE VISTA FRAME SYST. STD USA
60930 MIRAGE VISTA FRAME SYST DEEP USA
61010 MIRAGE KIDSTA SML USA A7034 + A7035
61013 MIRAGE MICRO FOR KIDS A7034 + A7035
61020 VISTA/KIDSTA HEADGEAR SML A7035
61025 MIRAGE KIDSTA, HEADGEAR CLIPS - 2 PACK
61030 Pixi Pediatric Nasal Mask A7034+ A7035
61033 Pixi Pediatric cushion A7032
61034 Pixi Pediatric Headgear A7035
61035 Pixi Pediatric Frame System
61121 DISTAL PRESSURE PORT
61200 MIRAGE QUATTRO FFM XSML-AMER A7030 + A7035
61201 MIRAGE QUATTRO FFM SML-AMER A7030 + A7035
61202 MIRAGE QUATTRO FFM MED-AMER A7030 + A7035
61203 MIRAGE QUATTRO FFM LGE-AMER A7030 + A7035
61260 Mirage Quattro Frame Sys XSML
61261 Mirage Quattro Frame Sys SML
61262 Mirage Quattro Frame Sys MED
61263 Mirage Quattro Frame Sys LGE
61264 Mirage Quattro Frame Assy XSML
61265 Mirage Quattro Frame Assy SML
61266 Mirage Quattro Frame Assy MED
61267 Mirage Quattro Frame Assy LGE
61270 Mirage Quattro Mask Frame XSML
ResMed Confidential 11/8/2018 Page 8
Item # Product Description HCPCS
61271 Mirage Quattro Mask Frame SML
61272 Mirage Quattro Mask Frame MED
61273 Mirage Quattro Mask Frame LGE
61274 Mirage Quattro Cushion Clip XSML
61275 Mirage Quattro Cushion Clip SML
61276 Mirage Quattro Cushion Clip MED
61277 Mirage Quattro Cushion Clip LGE
61282 Mirage Quattro Elbow
61286 Mirage Quattro Valve & Clip Assy
61287 Mirage Quattro Valve Assy 10pk
61288 Mirage Quattro Forehead Support
61289 Mirage Quattro Dial
61290 Mirage Quattro Cushion&Clip XSML A7031
61291 Mirage Quattro Cushion&Clip SML A7031
61292 Mirage Quattro Cushion&Clip MED A7031
61293 Mirage Quattro Cushion&Clip LGE A7031
61294 Mirage Quattro Elbow Assy
61295 Mirage Quattro Ports Cap 2pk
61296 Mirage Quattro Ports Cap 10pk
61300 MIRAGE LIBERTY FFM SYS SML-AMER A7027 + A7035 OR A7029
61301 MIRAGE LIBERTY FFM SYS LGE-AMER A7027 + A7035 OR A7029
61318 Mirage Liberty Frame Sys SML/SML
61319 Mirage Liberty Frame Sys SML/MED
61320 Mirage Liberty Frame Sys SML/LGE
61321 Mirage Liberty Frame Sys LGE/SML
61322 Mirage Liberty Frame Sys LGE/MED
61323 Mirage Liberty Frame Sys LGE/LGE
61325 Mirage Liberty Frame Assy SML
61326 Mirage Liberty Frame Assy LGE
61330 Mirage Liberty Mouth Cushion SML A7028
61331 Mirage Liberty Mouth Cushion LGE A7028
61333 Mirage Liberty Nasal Pillows SML A7029
61334 Mirage Liberty Nasal Pillows MED A7029
61335 Mirage Liberty Nasal Pillows LGE A7029
61337 Mirage Liberty Frame SML
61338 Mirage Liberty Frame LGE
61340 Mirage Liberty Elbow Assy
61342 Mirage Liberty Valve & Clip Assy
61343 Mirage Liberty Valve & Clip Assy 10PK
61348 Mirage Liberty Headgear Assy SML A7035
61349 Mirage Liberty Headgear Assy STD A7035
61352 Mirage Liberty Upper Clips L&R
61353 Mirage Liberty Lower Clip 2PK
61500 Swift FX nasal pillows system A7034 + A7035
61510 Swift FX frame system - extra small A7034
61511 Swift FX frame system - small A7034
61512 Swift FX frame system - medium A7034
61513 Swift FX frame system - large A7034
61520 Swift FX dual-wall pillow - extra small A7033
61521 Swift FX dual-wall pillow - small A7033
61522 Swift FX dual-wall pillow - medium A7033
61523 Swift FX dual-wall pillow - large A7033
61528 Swift FX frame assembly
61529 Swift FX headgear A7035
61530 Swift FX soft wraps - 2 pack (gray)
61540 Swift FX for Her nasal pillows system A7034 + A7035
61543 Swift FX for her headgear A7035
61544 Swift FX soft wraps - 2 pack (pink)
61560 Swift FX Bella nasal pillows system A7034 + A7035
61568 Swift FX Bella Gray nasal pillows system A7034 + A7035
ResMed Confidential 11/8/2018 Page 9
Item # Product Description HCPCS
61580 Swift FX for Her headgear assembly with Bella Loops accessory A7035
61581 Swift FX Bella Loops - 2 pack (pink)
61582 Swift FX Bella Gray Loops - 2 pack (gray)
61583 Swift FX headgear assembly with Bella Gray Loops accessory A7035
61600 Mirage SoftGel - Small A7034 + A7035
61601 Mirage SoftGel - Medium A7034 + A7035
61602 Mirage SoftGel - Large A7034 + A7035
61603 Mirage SoftGel - Large Wide A7034 + A7035
61604 Mirage SoftGel/Activa LT ConvertAble Pack - small A7032 + A7034 + A7035
61609 Mirage SoftGel/Activa LT ConvertAble Pack - medium A7032 + A7034 + A7035
61620 Mirage SoftGel/Activa LT ConvertAble Pack - large wide A7032 + A7034 + A7035
61626 Mirage SoftGel Frame System - Small A7034
61627 Mirage SoftGel Frame System - Medium A7034
61628 Mirage SoftGel Frame System - Large A7034
61629 Mirage SoftGel Frame System - Large Wide A7034
61631 Mirage SoftGel Cushion - Small A7032
61632 Mirage SoftGel Cushion - Medium A7032
61633 Mirage SoftGel Cushion - Large A7032
61634 Mirage SoftGel Cushion - Large Wide A7032
61700 Quattro FX Full Face Mask - small A7030 + A7035
61701 Quattro FX Full Face Mask - medium A7030 + A7035
61702 Quattro FX Full Face Mask - large A7030 + A7035
61721 Quattro FX cushion - small A7031
61722 Quattro FX cushion - medium A7031
61723 Quattro FX cushion - large A7031
61724 Quattro FX frame system - small A7030
61725 Quattro FX frame system - medium A7030
61726 Quattro FX frame system - large A7030
61733 Quattro FX headgear - medium/standard A7035
61734 Quattro FX headgear - small A7035
61738 Quattro FX headgear - large A7035
61739 NV Quattro FX FFM SML-AMER
61740 NV Quattro FX FFM MED-AMER
61741 NV Quattro FX FFM LGE-AMER
61914 Gecko Nasal Pad - small - 10 pk
61915 Gecko Nasal Pad - large - 10 pk
62103 Mirage FX Nasal Mask A7034 + A0735
62109 Mirage FX for Her Nasal Mask - small A7034 + A0735
62110 Mirage FX headgear A7035
62111 Mirage FX/Mirage FX for Her cushion - standard A7032
62112 Mirage FX/Mirage FX for Her frame system with cushion - standard A7034
62118 Mirage FX Nasal Mask - Wide A7034 + A0735
62125 Mirage FX cushion - wide A7032
62126 Mirage FX frame system with cushion - wide A7034
62128 Mirage FX for Her Nasal Mask A7034 + A0735
62129 Mirage FX for Her headgear A7035
62136 Mirage FX/Mirage FX for Her cushion - small A7032
62137 Mirage FX/Mirage FX for Her frame system with cushion - small A7034
62138 Mirage FX headgear - small (gray) A7035
62200 Swift FX Nano Mask System - standard A7034 + A7035
62201 Swift FX Nano for Her Mask System A7034 + A7035
62220 Swift FX Nano Frame System - standard A7034
62221 Swift FX Nano Frame System - small A7034
62230 Swift FX Nano Cushion - standard A7034
62231 Swift FX Nano Cushion - small A7034
62238 Swift FX Nano Headgear assembly - gray A7035
62248 Swift FX Nano Headgear assembly - pink A7035
62251 Swift FX Nano Mask System - wide A7034 + A7035
62271 Swift FX Nano Frame System - wide A7034
62281 Swift FX Nano Cushion - wide A7034
ResMed Confidential 11/8/2018 Page 10
Item # Product Description HCPCS
62501 Quattro FX for Her full face mask - small A7030 + A7035
62502 Quattro FX for Her full face mask - medium A7030 + A703562506 Quattro FX for Her headgear (light pink) - small A7035
62507 Quattro FX for Her headgear (light pink) - standard A7035
62513 Quattro FX for Her frame system with small cushion A703062514 Quattro FX for Her frame system with medium cushion A7030
62701 Quattro Air Full Face Mask - small A7030 + A7035
62702 Quattro Air Full Face Mask - medium A7030 + A7035
62703 Quattro Air Full Face Mask - large A7030 + A7035
62736 Quattro Air/AirFit F10 Cushion - extra small A7031
62737 Quattro Air/AirFit F10 Cushion - small A7031
62738 Quattro Air/AirFit F10 Cushion - medium A7031
62739 Quattro Air/AirFit F10 Cushion - large A7031
62740 Quattro Air for Her Full Face Mask - extra small A7030 + A7035
62741 Quattro Air for Her Full Face Mask - small A7030 + A7035
62742 Quattro Air for Her Full Face Mask - medium A7030 + A7035
62752 Quattro Air Frame System - extra small A7030
62753 Quattro Air Frame System - small A7030
62754 Quattro Air Frame System - medium A7030
62755 Quattro Air Frame System - large A7030
62756 Quattro Air Headgear - standard (blue) A7035
62757 Quattro Air Headgear - small (blue) A7035
62758 Quattro Air Headgear - small (pink) A7035
62759 Quattro Air Headgear - standard (pink) A7035
62778 NV Quattro Air FFM XSML - AMER
62779 NV Quattro Air FFM SML - AMER
62780 NV Quattro Air FFM MED - AMER
62781 NV Quattro Air FFM LGE - AMER
62798 NV Quattro Air Frame Syst XSML
62799 NV Quattro Air Frame Syst SML
62800 NV Quattro Air Frame Syst MED
62801 NV Quattro Air Frame Syst LGE
62820 NV Quattro Air Headgear
62821 NV Quattro Air Headgear-SML
62823 NV Quattro Air XSML-Cushion Spr
62824 NV Quattro Air SML - Cushion Spr
62825 NV Quattro Air MED - Cushion Spr
62826 NV Quattro Air LGE - Cushion Spr
62900 AirFit™ P10 nasal pillows system A7034 + A7035
62910 AirFit™ P10 for Her nasal pillows system A7034 + A7035
62920 AirFit frame system with extra small pillows - no headgear A7034
62921 AirFit frame system with small pillows - no headgear A7034
62922 AirFit frame system with medium pillows - no headgear A7034
62923 AirFit frame system with large pillows - no headgear A7034
62930 AirFit P10 pillow - extra small A7033
62931 AirFit P10 pillow - small A7033
62932 AirFit P10 pillow - medium A7033
62933 AirFit P10 pillow - large A7033
62935 AirFit P10 headgear assembly A7035
62936 AirFit P10 for Her headgear assembly A7035
63000 AirTouch™ F20 - Complete Mask System - Small A7030 + A7035
63001 AirTouch™ F20 - Complete Mask System - Medium A7030 + A7035
63002 AirTouch™ F20 - Complete Mask System - Large A7030 + A7035
63003 AirTouch™ F20 for Her - Complete Mask System - Small A7030 + A7035
63004 AirTouch™ F20 for Her - Complete Mask System - Medium A7030 + A7035
63021 AirTouch™ F20 frame system with small cushion - no headgear A7030
63022 AirTouch™ F20 frame system with medium cushion - no headgear A7030
63023 AirTouch™ F20 frame system with large cushion - no headgear A7030
63024 AirTouch™ F20 for Her frame system with small cushion - no headgear A7030
63025 AirTouch™ F20 for Her frame system with medium cushion - no headgear A7030
63028 AirTouch™ F20 Cushion - Small A7031
63029 AirTouch™ F20 Cushion - Medium A7031
ResMed Confidential 11/8/2018 Page 11
Item # Product Description HCPCS
63030 AirTouch™ F20 Cushion - Large A7031
63101 AirFit F10 full face mask - small A7030 + A7035
63102 AirFit F10 full face mask - medium A7030 + A7035
63103 AirFit F10 full face mask - large A7030 + A7035
63139 AirFit F10 for Her full face mask - extra small A7030 + A7035
63140 AirFit F10 for Her full face mask - small A7030 + A7035
63141 AirFit F10 for Her full face mask - medium A7030 + A7035
63160 AirFit F10 frame system with extra small cushion - no headgear A7030
63161 AirFit F10 frame system with small cushion - no headgear A7030
63162 AirFit F10 frame system with medium cushion - no headgear A7030
63163 AirFit F10 frame system with large cushion - no headgear A7030
63164 AirFit F10 headgear - standard A7035
63165 AirFit F10 headgear - small A7035
63166 AirFit F10 headgear - large A7035
63167 AirFit F10 for Her headgear - standard A7035
63200 AirFit™ N10 nasal mask complete system - standard A7034 + A7035
63201 AirFit™ N10 for Her nasal mask complete system - small A7034 + A7035
63202 AirFit™ N10 nasal mask complete system - wide A7034 + A7035
63229 AirFit F10 for Her headgear - small A7034 + A7035
63230 AirFit N10 frame system with standard cushion - no headgear A7034
63231 AirFit N10 frame system with small cushion - no headgear A7034
63232 AirFit N10 frame system with wide cushion - no headgear A7034
63240 AirFit N10 cushion - standard A7032
63241 AirFit N10 cushion - small A7032
63242 AirFit N10 cushion - wide A7032
63260 AirFit N10 headgear - standard A7035
63261 AirFit N10 for Her headgear - small A7035
63262 AirFit N10 headgear - small A7035
63400 AirFit F20 Complete Mask System - small A7030 + A7035
63401 AirFit F20 Complete Mask System - medium A7030 + A7035
63402 AirFit F20 Complete Mask System - large A7030 + A7035
63403 AirFit F20 for Her Complete Mask System - small A7030 + A7035
63404 AirFit F20 for Her Complete Mask System - medium A7030 + A7035
63460 AirFit F20 frame system with small cushion - no headgear A7030
63461 AirFit F20 frame system with medium cushion - no headgear A7030
63462 AirFit F20 frame system with large cushion - no headgear A7030
63463 AirFit F20 for Her frame system with small cushion - no headgear A7030
63464 AirFit F20 for Her frame system with medium cushion - no headgear A7030
63467 AirFit F20 Cushion - small A7031
63468 AirFit F20 Cushion - medium A7031
63469 AirFit F20 Cushion - large A7031
63470 AirFit F20 Headgear - small A7035
63471 AirFit F20 Headgear - standard A7035
63472 AirFit F20 Headgear - large A7035
63473 AirFit F20 for Her Headgear - small A7035
63500 AirFit N20 for Her - Complete Mask System - small A7034 + A7035
63501 AirFit N20 Complete Mask System - medium A7034 + A7035
63502 AirFit N20 Complete Mask System - large A7034 + A7035
63503 AirFit N20 Complete Mask System - small A7034 + A7035
63550 AirFit N20 Cushion - small A7032
63551 AirFit N20 Cushion - medium A7032
63552 AirFit N20 Cushion - large A7032
63553 AirFit N20 frame system with small cushion - no headgear A7034
63554 AirFit N20 for Her frame system with small cushion - no headgear A7034
63555 AirFit N20 frame system with medium cushion - no headgear A7034
63556 AirFit N20 frame system with large cushion - no headgear A7034
63558 AirFit N20 for Her Headgear - small A7035
63560 AirFit N20 Headgear - small A7035
63561 AirFit N20 Headgear - medium A7035
63562 AirFit N20 Headgear - large A7035
64100 AirFit™ F30 Complete Mask System - Small A7030 + A7034
ResMed Confidential 11/8/2018 Page 12
Item # Product Description HCPCS
64101 AirFit™ F30 Complete Mask System - Medium A7030 + A7034
64150 AirFit™ F30 Cushion - Small A7031
64151 AirFit F30™ Cushion - Medium A7031
64155 AirFit F30™ Frame System - Small A7030
64156 AirFit F30™ Frame System - Medium A7030
64161 AirFit F30™ Headgear - Standard A7035
70199 BATTERY ADAPTER 12 VOLT
70388 APNEALINK CANNULA, 25-PK
70413 REUSABLE SOFT SENSOR - LARGE
70568 REUSABLE SOFT SENSOR - MEDIUM
113311 ResMed Test Lung
241005 Stellar Mobility Package
249002 RPS II kit for Stellar/S7
249003 RPS II kit for S8
249004 RPS II kit for S9
249007 Hospital Stand with Top Plate (Item #24913)
249009 RPS II kit for Air 10
270005 Astral Complete Power Cord Kit
279001 Astral Homecare Stand
370004 Air 10 Oximetry Complete Kit
629051 USB CABLE
629052 STRETCH BELT UNIVERSAL
707560 REUSABLE SOFT SENSOR - 3M
CAP008617 FiO2 Monitoring Sensor
123-102 Carry Case, Universal, Activox
XYC089 Charger, AC/DC
XYC092 Power Cord, AC 6ft-us
XYC102 LifeChoice Only Battery Pack, External-Belt
XYC103 Charger, AC/DC with Power Cord
XYC104 Charger, DC/DC
XYC105 Carry Case for LifeChoice Oxygen Concentrator
XYC262 Cannula, Adult Nasal
XYC283 AUX Battery Waist Belt
XYC283L AUX Battery Waist Belt Large
XYC283S AUX Battery Waist Belt Small
XYC340 Accessory Bag
XYC413 Carry Case Handle
XYC414 Shoulder Strap Kit
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This product list has been prepared solely for the use of ResMed’s customers. All information contained in this product list is confidential. You agree not to
disclose such information to any third party without the prior written approval of ResMed. While ResMed has taken reasonable precautions to ensure the
accuracy of the pricing and information contained in this document as of the date of publication, ResMed strongly recommends that you confirm the accuracy
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ResMed Confidential 11/8/2018 Page 13