E1391 HCPCS - OXYGEN CONCENTRATOR, DUAL DELIVERY PORT, CAPABLE OF DELIVERING 85 PERCENT OR GREATER OXYGEN CONCENTRATION AT THE PRESCRIBED FLOW RATE, EACH

Code Information

  • HCPCS Code: E1391
  • Sequence Number: 0010
  • Short Description: Oxygen concentrator, dual
  • Long Description: Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each
  • Date Added: 1/1/2004
  • Action Code: N - No maintenance for this code
  • Action Effective Date: 1/1/2004
  • Classification: Durable Medical Equipment
  • Coding System: HCPCS

Code Type

  • Berenson-Eggers Type Of Service Code: D1C - Oxygen and supplies
  • Type Of Service Code:
    • 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:
    • 60-4
  • Medicare Carriers Manual Reference Section Number:
      N/A
    • Coverage Code: D - Special coverage instructions apply

    HCPCS Record

    Field Name Field Value
    Healthcare Common Procedure Coding System Code E1391
    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 Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each
    HCPCS Short Description Oxygen concentrator, dual
    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 Issues Manual Reference Section Number 1 60-4
    HCPCS Coverage Code D - Special coverage instructions apply
    HCPCS Berenson-Eggers Type Of Service Code D1C - Oxygen and supplies
    HCPCS Type Of Service Code 1 R - Rental of DME
    HCPCS Anesthesia Base Unit Quantity 0
    HCPCS Code Added Date 1/1/2004
    HCPCS Action Effective Date 1/1/2004
    HCPCS Action Code N - No maintenance for this code

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    This page was last updated on: 7/1/2024