Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each
HCPCS code
Name of the Procedure:
Oxygen Concentrator, Dual Delivery Port, Capable of Delivering 85 Percent or Greater Oxygen Concentration at the Prescribed Flow Rate, Each (E1391)
- Common Names: Oxygen Concentrator
- Medical Terms: E1391 Durable Medical Equipment (DME)
Summary
An oxygen concentrator is a medical device that delivers a high concentration of oxygen to individuals who require respiratory support. This specific model (E1391) features dual delivery ports and can provide at least 85% oxygen concentration at a flow rate prescribed by a healthcare provider.
Purpose
Medical Conditions Addressed:
- Chronic Obstructive Pulmonary Disease (COPD)
- Pulmonary Fibrosis
- Severe Asthma
- Heart Failure
- Conditions causing hypoxemia (low blood oxygen levels)
Goals/Expected Outcomes:
- To increase the oxygen levels in the patient's blood.
- To relieve symptoms such as shortness of breath and improve overall oxygenation.
- Enhance the quality of life and physical capability.
Indications
Conditions and Symptoms:
- SpO2 (oxygen saturation) levels below 88% while resting or during exertion.
- Documented chronic lung diseases causing hypoxemia.
- Patients with limited mobility or those who require continuous oxygen therapy.
Patient Criteria:
- Individuals with stable need for supplemental oxygen.
- Patients who are non-compliant with liquid or compressed oxygen systems.
Preparation
Pre-Procedure Instructions:
- No fasting required.
- Patients may need to undergo a pulse oximetry test or arterial blood gas analysis to determine oxygen levels.
- Review of any medications the patient is currently taking with healthcare provider.
Procedure Description
Steps Involved:
- Assessment: Determine the oxygen flow rate required by the patient.
- Setup: Position the oxygen concentrator in a well-ventilated area near the patient’s living space.
- Connection: Attach nasal cannula or mask to one of the delivery ports.
- Adjustment: Set the prescribed flow rate using the device controls.
- Monitoring: Regularly check to ensure the device is delivering the correct oxygen concentration and functioning properly.
Tools/Equipment Used:
- E1391 Oxygen Concentrator
- Nasal cannula or oxygen mask
- Pulse oximeter
Anesthesia/Sedation: Not applicable.
Duration
Time Required:
- Initial setup and patient instruction: Approximately 30 minutes.
- Continuous usage as per prescribed treatment plan.
Setting
Procedure Performed:
- Typically at patient's home or long-term care facility.
Personnel
Healthcare Professionals Involved:
- Respiratory therapists
- Home healthcare providers
- Physicians or pulmonologists for prescribing and initial setup.
Risks and Complications
Common Risks:
- Skin irritation or pressure sores from oxygen delivery devices.
- Nasal dryness or bleeding.
Rare Risks:
- Fire hazard if exposed to open flames.
Electrical malfunction risks.
Complications Management:
- Regular assessment and mitigation strategies for any skin or nasal issues.
- Ensuring proper safety measures in place to prevent fire hazards.
Benefits
Expected Benefits:
- Improved oxygenation and alleviation of symptoms such as shortness of breath.
- Enhanced mobility and ability to perform daily activities.
- Benefits typically realized immediately upon correct usage of the device.
Recovery
Post-Procedure Care:
- Regular maintenance and cleaning of the equipment.
- Routine follow-up appointments with healthcare provider to monitor oxygen levels and device usage.
Recovery Time: Immediate improvement upon setup with ongoing usage as needed.
Alternatives
Other Treatment Options:
- Liquid oxygen systems
- Compressed gas oxygen cylinders
- Portable oxygen concentrators for mobility
Pros and Cons of Alternatives:
- Liquid oxygen systems offer portability but require regular deliveries.
- Compressed gas cylinders are portable yet bulky and require refills.
- Portable concentrators provide mobility but might have lower flow rates.
Patient Experience
During the Procedure:
- Initial unfamiliarity with device usage.
- Sensation of air flow through nasal cannula or oxygen mask.
After the Procedure:
- Adjustment to wearing the device regularly.
- Mid to minimal discomfort from oxygen delivery devices.
- Assistance for comfort measures like hydration for nasal dryness and skin protection cream for irritation management.
By using the E1391 oxygen concentrator, many patients find relief and a significant improvement in their quality of life through consistent and reliable supplemental oxygen therapy.