Table of content for "Oxygen concentrator, dual" (HCPCS E1391)
General information on the “E1391” code
HCPCS Code: E1391
Long Description: Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each
Short Description: Oxygen concentrator, dual
Original information is taken from E1391 page
Pricing indicators
Pricing Indicator Code 1: 33 – Oxygen and oxygen equipment (price subject to floors and ceilings). Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage Issues Manual Reference Section Number 1: 60-4
Coverage
Coverage: D – Special coverage instructions apply
Type of service
Berenson-Eggers Type of Service (BETOS): D1C – Oxygen and supplies
Type Of Service 1: R – Rental of DME
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 20040101
Code Effective Date: 20040101
Action Code: N – No maintenance for this code