2025 HCPCS code A4616
(Active) Effective Date: N/A Medical and Surgical Supplies - Respiratory Supplies and Equipment Medical and Surgical Supplies Feed
Oxygen tubing, per foot.
Medical necessity for oxygen therapy must be established based on the patient's condition. Documentation should include the patient's oxygen saturation levels, diagnosis, and the prescribed oxygen flow rate.
The provider uses a flexible, kink-free tube to deliver oxygen to a patient on oxygen therapy.
In simple words: This code covers the cost of the tubing used to deliver oxygen to a patient. The cost is calculated based on the length of the tubing used.
Oxygen tubing used to deliver oxygen to a patient receiving oxygen therapy. This code is reported per foot of tubing.
Example 1: A patient receiving oxygen therapy at home requires 10 feet of tubing to connect their oxygen concentrator to their nasal cannula. The code A4616 is reported with 10 units., A patient in a hospital requires oxygen therapy and is using a 50 foot oxygen tubing attached to their face mask. A4616 is reported with 50 units., A patient receiving oxygen therapy via a nasal cannula requires 7 feet of oxygen tubing to ambulate. A4616 would be reported with 7 units.
Documentation should support the medical necessity of the oxygen therapy and specify the length of tubing used.
** It is important to verify payer-specific guidelines for coverage of oxygen tubing and related supplies, as coverage policies may vary.
- Payment Status: Active
- Specialties:Respiratory Therapy, Pulmonary Medicine, Internal Medicine, Critical Care Medicine, Emergency Medicine
- Place of Service:Home, Inpatient Hospital, Skilled Nursing Facility, Hospice, Office, Ambulance - Land, Ambulance - Air or Water