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
Date Added: 1/1/2010
Action Code: N - No maintenance for this code
Action Effective Date: 1/1/2010
Classification: Durable Medical Equipment
Coding System: HCPCS

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

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

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