Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing
HCPCS code
Name of the Procedure:
Stationary Compressed Gaseous Oxygen System Rental
Common name(s): Oxygen therapy system, Home oxygen therapy
Technical/Medical term(s): Compressed gaseous oxygen therapy (HCPCS code E0424)
Summary
Oxygen therapy using a stationary compressed gaseous oxygen system provides supplemental oxygen to individuals with respiratory conditions. This system includes all necessary components such as the container, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing. It allows patients to breathe in concentrated oxygen to improve their oxygen levels.
Purpose
Medical Conditions Addressed: Chronic obstructive pulmonary disease (COPD), severe asthma, cystic fibrosis, pulmonary fibrosis, and other conditions causing low blood oxygen levels.
Goals/Outcomes: To increase oxygen levels in the blood, improve breathing, reduce symptoms of hypoxia, and enhance the overall quality of life.
Indications
Specific Symptoms/Conditions: Persistent low oxygen levels (hypoxia), shortness of breath, fatigue related to low oxygen.
Patient Criteria: Individuals diagnosed with chronic respiratory conditions, confirmed low blood oxygen levels via pulse oximetry or arterial blood gases.
Preparation
Pre-Procedure Instructions: No specific preparations are required.
Diagnostic Tests: Patients may need a pulse oximetry test or arterial blood gas (ABG) test to determine oxygen levels.
Procedure Description
- Assessment: Health care provider assesses the patient's oxygen needs.
- Setup: Delivery and setup of the gaseous oxygen system at the patient's residence.
- Instruction: Patients and caregivers receive training on operating the system, including using the cannula or mask, adjusting the flowmeter, and maintaining the equipment.
- Usage: The patient inhales oxygen through the cannula or mask as prescribed.
Tools/Equipment: Oxygen container, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing.
Anesthesia/Sedation: Not applicable.
Duration
Typically, this is a continuous, long-term therapy as prescribed by a healthcare provider.
Setting
Performed and used in the patient's home or any non-medical setting where the system is installed.
Personnel
Respiratory therapists for setup and training, and ongoing monitoring by the patient's physician.
Risks and Complications
Common Risks: Nasal dryness, nosebleeds, irritation from tubing or mask.
Rare Risks: Fire hazard due to oxygen's flammability (instructions on safety measures are provided).
Management: Consult healthcare provider if complications arise; regular maintenance of equipment.
Benefits
Expected Benefits: Improved blood oxygen levels, reduced symptoms of hypoxia, better overall breathing, and enhanced comfort.
Realization: Benefits can be felt immediately upon using the system if used correctly.
Recovery
Post-Procedure Care: Regular use of the system as prescribed, periodic checks of oxygen levels, and maintenance of equipment.
Recovery Time: Variable based on the underlying condition; ongoing use typically required.
Follow-up: Regular follow-ups with a healthcare provider to adjust oxygen levels and reassess needs.
Alternatives
Other Treatment Options: Portable oxygen concentrators, liquid oxygen systems, lifestyle changes, and medication.
Pros and Cons:
- Portable oxygen concentrators: More mobility but lower oxygen flow rates.
- Liquid oxygen systems: Longer supply duration but more costly.
- Lifestyle changes and medication: Complementary but may not replace the need for supplemental oxygen.
Patient Experience
During Procedure: For home setup, minimal discomfort; nasal dryness or irritation from the cannula or mask.
After Procedure: Typically minimal pain; discomfort can be managed with proper care and by following usage instructions.