Oxygen Equipment and Contents Billing Chart (Rev. 1, 10-01-03)

by  Jared Staheli
June 18th, 2015

The following chart indicates what oxygen fee schedule component is billable/payable under various transaction scenarios for providers and suppliers:

1. Situation: Beneficiary Uses a Stationary System Only

a. Rental Cases (Beneficiary Uses a Stationary System Only)

Type of System Stationary Monthly Payment Oxygen Content Fee Portable Add-On Portable Contents Fee
Concentrator Yes No No No
  E1377 E1378 E1379 E1380 E1381 E1382 E1383 E1384 E1385 E1400 E1401 E1402 E1403 E1404 E1405 E1406      
Gaseous Yes No No No
  E0424      
Liquid Yes No No No
  E0439      

b. Purchase Cases (Beneficiary Uses a Stationary System Only)

Type of System Stationary Monthly Payment Oxygen Content Fee Portable Add-On Portable Contents Fee
Concentrator No No No No
Gaseous No Yes No No
    E0441    
Liquid No Yes No No
    E0442    

2. Situation: Beneficiary Uses Both a Stationary and Portable System

a. Rents Stationary/Rents Portable

Type of System Stationary Monthly Payment Oxygen Content Fee Portable Add-On Portable Contents Fee
Concentrator Yes No Yes No
  E1377 E1378 E1379 E1380 E1381 E1382 E1383 E1384 E1385 E1400 E1401 E1402 E1403 E1404 E1405 E1406   E0431 E0434  
Gaseous Yes No Yes No
  E0424   E0431  
Liquid Yes No Yes No
  E0439   E0434  

b. Rents Stationary/Owns Portable

Type of System Stationary Monthly Payment Oxygen Content Fee Portable Add-On Portable Contents Fee
Concentrator Yes No No No
  E1377 E1378 E1379 E1380 E1381 E1382 E1383 E1384 E1385 E1400 E1401 E1402 E1403 E1404 E1405 E1406      
Gaseous Yes No No No
  E0424      
Liquid Yes No No No
  E0439      

c. Owns Stationary/Owns Portable

Type of System Stationary Monthly Payment Oxygen Content Fee Portable Add-On Portable Contents Fee
Concentrator No No No Yes
        E0443 E0444
Gaseous No Yes No No
    E0441    
Gaseous No Yes No No
    E0442    

d. Owns Stationary/Rents Portable

Type of System Stationary Monthly Payment Oxygen Content Fee Portable Add-On Portable Contents Fee
Concentrator No No Yes Yes
      E0431 E0434 E0443 E0444
Gaseous No Yes Yes No
    E0441 E0431  
Liquid No Yes Yes No
    E0442 E0434  

3. Situation: Beneficiary Uses a Portable System Only

a. Rents Portable System (Beneficiary Uses a Portable System Only)

Type of System Stationary Monthly Payment Oxygen Content Fee Portable Add-On Portable Contents Fee
Gaseous No No Yes Yes
      E0431 E0443
Liquid No No Yes Yes
      E0434 E0444

b. Owns Portable System (Beneficiary Uses a Portable System Only)

Type of System Stationary Monthly Payment Oxygen Content Fee Portable Add-On Portable Contents Fee
Gaseous No No No Yes
        E0443
Liquid No No No Yes
        E0444

NOTE: For HHAs revenue codes 0601, 0602, 0603, and 0604 may apply when billing for oxygen under the situations in this chart.

References:

Oxygen Equipment and Contents Billing Chart (Rev. 1, 10-01-03). (2015, June 18). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/oxygen-equipment-and-contents-billing-chart-rev-1-10-01-03-26752.html

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