2025 HCPCS code E0425
Purchase of a stationary compressed oxygen system including regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing.
Medical necessity must be established for the oxygen system to be covered by insurance. This typically involves documenting the patient's oxygen saturation levels and the clinical indication for supplemental oxygen.
The provider must document the direct encounter and the condition necessitating the oxygen system. Medicare covers the system if deemed medically necessary.
In simple words: This code covers the purchase of a home oxygen tank system with all the necessary parts, like the tank, the tubes, and the mask or nosepiece.
This code represents the purchase of a complete stationary compressed oxygen system that supplies a variable concentration of oxygen to the patient. The system includes a container (tank), regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing.
Example 1: A patient with severe COPD requires supplemental oxygen at home and purchases a stationary compressed oxygen system., A patient with cystic fibrosis needs a nebulizer for medication delivery and purchases this system, which includes a nebulizer., A patient recovering from pneumonia requires temporary oxygen therapy and opts to purchase this system instead of renting.
Documentation should include the patient's diagnosis, the medical necessity for the oxygen system, and the specific components included in the system.
- Specialties:Pulmonology, Respiratory Therapy, Internal Medicine
- Place of Service:Home