Field Name |
Field Value |
Healthcare Common Procedure Coding System Code |
E0433 |
HCPCS Sequence Number |
0010 |
HCPCS Record Identification Code |
3 - First line of procedure record also contains detail information in positions 92-275 |
HCPCS Long Description |
Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with or without supply reservoir and contents gauge |
HCPCS Short Description |
Portable liquid oxygen sys |
HCPCS Pricing Indicator Code 1 |
33 - Oxygen and oxygen equipment (price subject to floors and ceilings) |
HCPCS Multiple Pricing Indicator Code |
A - Not applicable as HCPCS priced under one methodology |
HCPCS Coverage Code |
C - Carrier judgment |
HCPCS Berenson-Eggers Type Of Service Code |
D1C - Oxygen and supplies |
HCPCS Type Of Service Code 1 |
A - Used durable medical equipment (DME) |
HCPCS Type Of Service Code 2 |
P - Lump sum purchase of DME, prosthetics, orthotics |
HCPCS Type Of Service Code 3 |
R - Rental of DME |
HCPCS Anesthesia Base Unit Quantity |
0 |
HCPCS Code Added Date |
1/1/2010 |
HCPCS Action Effective Date |
1/1/2010 |
HCPCS Action Code |
N - No maintenance for this code |