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Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate

HCPCS code

Medical Policies and Guidelines for Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate

Related policies from health plans

Oxygen Therapy (CG005)

Similar Codes


ICD10CM codes

Z99.81 - Dependence on supplemental oxygen
Z92.81 - Personal history of extracorporeal membrane oxygenation (ECMO)
R09.02 - Hypoxemia
T85.620 - Displacement of cranial or spinal infusion catheter
Z49.01 - Encounter for fitting and adjustment of extracorporeal dialysis catheter
R79.81 - Abnormal blood-gas level
T85.620A - Displacement of cranial or spinal infusion catheter, initial encounter
R40.2251 - Coma scale, best verbal response, oriented, in the field [EMT or ambulance]
Z45.41 - Encounter for adjustment and management of cerebrospinal fluid drainage device
T85.630 - Leakage of cranial or spinal infusion catheter

HCPCS codes

E1390 - Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concen
E1391 - Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentr
E1392 - Portable oxygen concentrator, rental
E0431 - Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifie
E0430 - Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask
E0434 - Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, fl
E0435 - Portable liquid oxygen system, purchase; includes portable container, supply reservoir, flowmeter, h
E0439 - Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidif
E0433 - Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers
E1354 - Oxygen accessory, wheeled cart for portable cylinder or portable concentrator, any type, replacement

CPT4 codes

3037F - Oxygen saturation greater than 88% or PaO2 greater than 55 mm Hg (COPD)
4030F - Long-term oxygen therapy prescribed (more than 15 hours per day) (COPD)
94760 - Noninvasive ear or pulse oximetry for oxygen saturation; single determination
94681 - Oxygen uptake, expired gas analysis; including CO2 output, percentage oxygen extracted
99183 - Physician or other qualified health care professional attendance and supervision of hyperbaric oxyge
99190 - Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressur
31730 - Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen
82805 - Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation); with
82803 - Gases, blood, any combination of pH, pCO2, pO2, CO2, HCO3 (including calculated O2 saturation)
99191 - Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressur