Field Name |
Field Value |
Healthcare Common Procedure Coding System Code |
E1390 |
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, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate |
HCPCS Short Description |
Oxygen concentrator |
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 |
1/1/2000 |
HCPCS Action Effective Date |
1/1/2004 |
HCPCS Action Code |
N - No maintenance for this code |