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High Frequency Chest Wall Oscillation Devices

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Next Steps

​The EbGS requested the draft coverage guidance to be posted for 30-day public comment, 6/7/2021 to 8 a.m. 7/7/2021. Visit the Open for Comment ​page to view the draft coverage guidance and submit formal written comments.​


EbGS reviewed this topic at its 6/3/2021 meeting, making revisions to the coverage guidance draft.



Clinical Trials Registry. A pilot study to evaluate the use of the Vest system for treatment of bronchiectasis patients in the home setting. 2020; Accessed April 23, 2021.

Lange DJ, Lechtzin N, Davey C, et al. High-frequency chest wall oscillation in ALS: an exploratory randomized, controlled trial. Neurology. 2006;67(6):991-997.

Lee AL, Burge AT, Holland AE. Airway clearance techniques for bronchiectasis. The Cochrane database of systematic reviews. 2015(11):CD008351. doi:

Morrison L, Milroy S. Oscillating devices for airway clearance in people with cystic fibrosis. The Cochrane database of systematic reviews. 2020;4:CD006842. doi:

Nicolini A, Grecchi B, Banfi P. Effectiveness of two high frequency chest wall oscillation techniques in patients with bronchiectasis: a randomized controlled preliminary study. Panminerva medica. 2020. doi:

Nicolini A, Grecchi B, Ferrari-Bravo M, Barlascini C. Safety and effectiveness of the high-frequency chest wall oscillation vs intrapulmonary percussive ventilation in patients with severe COPD. International journal of chronic obstructive pulmonary disease. 2018;13:617-625. doi:​​


​​Scope statement was posted for public comment, 1/12/21 – 1/20/21 at 8:00am.​

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