HCPCS Code Section: HCPCS E Codes

Portable liquid oxygen system, purchase; includes portable container, supply reservoir, flowmeter, humidifier, contents gauge, cannula or mask, tubing and refill adaptor Short Description: Oxygen system liquid portabl Coverage Code: …

Volume control ventilator, without pressure support mode, may include pressure control mode, used with non-invasive interface (e.g., mask) Short Description: Vol control vent noninv int Coverage Code: Special coverage …

Negative pressure ventilator; portable or stationary Short Description: Neg press vent portabl/statn Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

Chest wrap Short Description: Chest wrap Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, 1990 Effective Date: January 1, 2014 …

Chest shell (cuirass) Short Description: Chest shell Coverage Code: Not payable by Medicare Action Code: No maintenance for this code Date Added: January 1, 1990 Effective Date: January 1, …

Oxygen tent, excluding croup or pediatric tents Short Description: Oxygen tent excl croup/ped t Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: …

Volume control ventilator, without pressure support mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube) Short Description: Vol control vent invasiv int Coverage Code: Special …

Portable oxygen contents, liquid, 1 month’s supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm) Short Description: Port o2 cont, liq over …

Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pressure device) Short Description: Rad …

Compressor, air power source for equipment which is not self-contained or cylinder driven Short Description: Compressor air power source Coverage Code: Carrier judgment Action Code: No maintenance for this …