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: