E1390 Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate

HCPCS code

HCPCSDMEPOS

Name of the Procedure:

Common Name: Oxygen Concentrator
Technical/Medical Term: Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS Code: E1390)

Summary

An oxygen concentrator is a medical device that provides supplemental oxygen to individuals with respiratory conditions. It works by extracting oxygen from ambient air and delivering it at high concentrations to the patient through a single delivery port.

Purpose

Medical Conditions or Problems Addressed

Chronic Obstructive Pulmonary Disease (COPD)
Emphysema
Pulmonary Fibrosis
Severe Asthma
Other conditions leading to low blood oxygen levels

Goals or Expected Outcomes

Increase oxygen levels in the blood
Reduce symptoms of breathlessness
Improve quality of life
Enhance physical and mental functionality

Indications

Specific Symptoms or Conditions Warranting the Procedure

Chronic hypoxemia (low blood oxygen)
Shortness of breath
Difficulty completing daily activities due to lack of oxygen

Patient Criteria

Physician-prescribed need for supplemental oxygen therapy
Ongoing assessment indicating benefits from concentrated oxygen delivery

Preparation

Pre-procedure Instructions

No specific fasting or medication adjustments required
Assessment of lung function (e.g., pulse oximetry, arterial blood gas tests)

Diagnostic Tests or Assessments

Blood oxygen level measurement
Evaluation of lung capacity

Procedure Description

Step-by-Step Explanation

Initial Consultation: A healthcare provider evaluates the patient's need for supplemental oxygen.
Prescription and Setup: The oxygen concentrator is prescribed and set up by a respiratory therapist or medical equipment provider.
Instruction: The patient and caregivers receive training on operating the device.
Use: The patient uses the device at home or any required setting by attaching a nasal cannula or oxygen mask to the concentrator’s delivery port.

Tools, Equipment, or Technology Used

Oxygen concentrator machine
Nasal cannula or oxygen mask
Humidifier bottle (if prescribed)

Anesthesia or Sedation Details

None required for the use of the oxygen concentrator

Duration

Continuous use as prescribed, often 24/7

Setting

Typically used at home, but can also be utilized in healthcare facilities

Personnel

Respiratory therapists
Medical equipment providers
Physicians

Risks and Complications

Common Risks

Dry or bloody nose
Skin irritation from the nasal cannula

Rare Risks

Oxygen toxicity (rare and typically from misuse)
Equipment malfunction

Possible Complications and their Management

Regular maintenance and check-ups are essential to ensure the device functions properly.

Benefits

Improved oxygen levels immediately upon use
Alleviation of symptoms like breathlessness
Enhanced ability to perform daily activities

Recovery

Post-Procedure Care and Instructions

Regular monitoring of device function
Routine follow-up appointments to assess oxygen therapy effectiveness

Expected Recovery Time

Not applicable as it is used for ongoing therapy

Restrictions or Follow-up

Ensure the device is used as prescribed
Regular check-ups to adjust oxygen levels

Alternatives

Other Treatment Options

Compressed oxygen cylinders
Liquid oxygen systems
Portable oxygen concentrators

Pros and Cons of Alternatives

Compressed Oxygen Cylinders: Limited portability, but no electricity required.
Liquid Oxygen Systems: More compact but can be expensive.
Portable Oxygen Concentrators: More mobility but generally less oxygen output.

Patient Experience

During the Procedure

The patient might feel a cool sensation in the nostrils from the oxygen flow.
Generally, no pain involved in using the device.

After the Procedure

Possible dryness in the nasal passages or mild discomfort, manageable with humidification.
Patients may need to adjust to sleeping with the device in use.