| HCPCS Code: |
E0433 |
| Long Description: |
Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with or without supply reservoir and contents gauge |
| Short Description: |
Portable liquid oxygen sys |
| Pricing Indicator 1: |
33 (Oxygen and oxygen equipment (price subject to floors and ceilings)) |
| Multiple Pricing Code: |
A (Not applicable as HCPCS priced under one methodology) |
| Statute Number: |
|
| Coverage Code: |
C (Carrier judgment) |
| ASC Payment Group Code: |
|
| Processing Note Number: |
|
| Berenson-Eggers Type of Service (BETOS) Code: |
D1C (Oxygen and supplies) |
| Type of Service Code 1: |
A (Used durable medical equipment (DME)) |
| Type of Service Code 2: |
P (Lump sum purchase of DME, prosthetics, orthotics) |
| Type of Service Code 3: |
R (Rental of DME) |
| Anesthesia Base Unit Quality: |
0 |
| Code Added: |
01-01-2010 |
| Action Effective Date: |
01-01-2010 |
| Action Code: |
N (No maintenance for this code) |
