HCPCS code E0431 — Portable gaseous 02.
Status: Active.
Effective Jan 1, 2001.
Source: CMS HCPCS Level II.
E0431
ActivePortable gaseous 02
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing
Category:
DME
Section:
E-codes: Durable Medical Equipment
Effective:
Jan 1, 2001
Code type:
alphanumeric
OPPS Status:
Y
— Non-implantable durable medical equipment
Medicare Part B utilization — 2023
Services billed
2,100,000
Beneficiaries
840,000
Medicare paid
$84,000,000
Avg per service
$50.00
Source: Medicare Part B Provider Utilization Public Use File (anonymized, aggregated to HCPCS level).
MUE — Medically Unlikely Edits
Maximum units of E0431 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.
| Service Type | Max Units / Day |
|---|---|
| DME Supplier | 1 |
| Outpatient Hospital | 0 |
| Practitioner Services | 0 |
Source: CMS Medicare NCCI Medically Unlikely Edits