E0433 HCPCS - 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

Code Information

HCPCS Code: E0433

Sequence Number: 0010

Short Description: Portable liquid oxygen sys

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

Code Added Date: 1/1/2010

Action Code: N - No maintenance for this code

Action Effective Date: 1/1/2010

Classification: Durable Medical Equipment

Coding System: HCPCS

Code Type

Berenson-Eggers Type Of Service Code: D1C - Oxygen and supplies
Type Of Service Code:
  • A - Used durable medical equipment (DME)
  • P - Lump sum purchase of DME, prosthetics, orthotics
  • R - Rental of DME

Billing Information

Pricing Indicator Code:
  • 33 - Oxygen and oxygen equipment (price subject to floors and ceilings)
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
    N/A
    Medicare Carriers Manual Reference Section Number:
      N/A
      Coverage Code: C - Carrier judgment

      HCPCS Record

      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

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      This page was last updated on: 1/1/2018