2024 HCPCS Code E1391

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
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS Action Code	N - No maintenance for this code
HCPCS Action Effective Date	January 01, 2004
HCPCS Code Added Date	January 01, 2004
HCPCS Pricing Indicator Code	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	60-4
HCPCS Type Of Service Code	R - Rental of DME
HCPCS Anesthesia Base Unit Quantity	0