Medicare Portable Oxygen Guidelines

Requirements for medicare coverage.

Medicare portable oxygen guidelines.

After the 36 month rental period you pay no more rental fees although the supplier still owns the equipment. Medicare will pay the supplier a monthly rental fee for the first 36 months. Your supplier must provide equipment and supplies for up to a total of 5 years as long as you have a medical need for oxygen. Additionally the doctor must state that the oxygen therapy is expected to improve your health.

If the patient uses a portable concentrator or transfilling machine to fill portable tanks in their homes oxygen generating portable equipment or ogpe a higher add on payment is made hcpcs codes e1392 k0738 or e0433. Have a prescription from your doctor have documentation from your doctor showing you have a lung disorder preventing you from receiving enough oxygen and that other measures have not been successful in improving your condition. In order to be considered for this certain conditions must be met. Highest oxygen flow rate in liters per minute lpm.

Payment for oxygen contents hcpcs codes e0441 through e0444 used. Yes your medicare oxygen benefit covers the cost of portable oxygen. Guidelines for accuracy for any questions please. Medicare oxygen patients even if medicare is in a secondary role.

If you travel by plane your oxygen supplier isn t required to give you an airline approved portable oxygen concentrator and medicare won t pay for any oxygen related to air travel. Medicare has always assisted in paying for durable medical equipment dme such as wheelchairs in home hospital beds etc. Also rentals are available through online companies that work with most airlines. Medicare pays no more than 36 continuous monthly rental payment amounts for oxygen and oxygen equipment.

If you have medicare and use oxygen you ll rent oxygen equipment from a supplier for 36 months. To qualify for coverage of the apparatus needed for oxygen fulfillment your physician must attest to the medical necessity of your equipment certifying that the severity of your lung disease demands assistance. Otherwise the question is yes or no. You may be able to rent a portable oxygen concentrator from your supplier.

Oxygen and oxygen equipment and capped rental items are paid under the medicare part b durable medical equipment dme benefit. The fee includes all equipment oxygen supplies and maintenance. Portable oxygen d applies. You must pay 20 of each month s rental fee.

After 36 months your supplier must continue to provide oxygen equipment and related supplies for an additional 24 months. For medicare to cover oxygen equipment and supplies beneficiaries must have the following. As far as oxygen goes medicare is able to cover the rental of oxygen devices and pay for some supplies for those who own their own devices. However the portable oxygen benefit can be satisfied with small liquid tanks larger gaseous tanks or a portable oxygen concentrator.