2025 HCPCS Code E1391

Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each

TAGS: concentration greater capable delivering percent delivery prescribed oxygen

Short Description	Oxygen concentrator, dual
HCPCS Action Code	N - No maintenance for this code
HCPCS Coverage Code	D - Special coverage instructions apply
HCPCS Code Added Date	January 01, 2004
HCPCS Action Effective Date	January 01, 2004
HCPCS Pricing Indicator Code	33 - Oxygen and oxygen equipment (price subject to floors and ceilings)
HCPCS Type Of Service Code	R - Rental of DME
HCPCS Multiple Pricing Indicator Code	A - Not applicable as HCPCS priced under one methodology
HCPCS Anesthesia Base Unit Quantity	0
HCPCS Coverage Issues Manual Reference Section Number	60-4