I prefer separate CO and smoke alarms... I replaced my RV-specific CO detector at the end of its life with a battery-powered Kidde CO detector with an LCD display of PPM (parts per million). This way it's not just an audible alarm, but I can look at the display to see what the level may be. Also, since it is battery-powered, I have no drain on my limited house battery capacity. As far as elevation... people build houses at all the elevations I have travelled, too, and I expect many of those houses have CO detectors in them that they bought from Amazon, Home Depot, Walmart, etc. ST