2025 HCPCS code E1391
(Active) Effective Date: N/A Revision Date: N/A Durable Medical Equipment - Oxygen Delivery Devices Durable Medical Equipment (DME) Feed
Supply of an oxygen concentrator with a dual delivery port, delivering at least 85% oxygen concentration at the prescribed flow rate.
Modifiers may apply depending on the specific circumstances. Consult current modifier guidelines for details.
The patient must have a documented respiratory condition requiring supplemental oxygen therapy, as determined by a physician or qualified healthcare professional. The dual-port concentrator is appropriate only when two patients require home oxygen and sharing the equipment is medically appropriate.
The physician or other qualified healthcare professional is responsible for ordering the oxygen concentrator based on the patient's medical needs and condition.They must document the medical necessity for the equipment.The supplier bills for the supply of the equipment.
In simple words: This code covers the cost of a special oxygen machine that can give oxygen to two people at once. It's used for people with lung problems who need extra oxygen.
This HCPCS code represents the supply of a dual delivery port oxygen concentrator capable of providing an oxygen concentration of 85% or greater at the prescribed flow rate.The device can supply oxygen to two patients simultaneously.It's a DME (durable medical equipment) used for patients with respiratory conditions requiring supplemental oxygen. Documentation must show medical necessity and the patient's condition necessitating the equipment.
Example 1: A patient with COPD and their spouse with emphysema both require supplemental oxygen at home. A dual-port oxygen concentrator is supplied, and code E1391 is billed once., Two patients in a long-term care facility share a room and both require continuous oxygen therapy.A dual-port oxygen concentrator is supplied, and E1391 is billed once., A patient with severe pneumonia is discharged home with a prescription for continuous oxygen therapy. A dual-port oxygen concentrator is supplied in anticipation of the patient needing to share it with a family member, and E1391 is billed once.
* Physician's order specifying the need for supplemental oxygen.* Documentation of the patient's respiratory condition requiring oxygen therapy.* Documentation of the type of oxygen concentrator supplied (dual-port).* Evidence of medical necessity.
** This code is for the *supply* of the equipment.Separate codes may apply for other services, such as maintenance or repair.Billing should adhere to all relevant payer policies.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Pulmonology, Respiratory Therapy, Home Healthcare
- Place of Service:Home, Skilled Nursing Facility, Long-Term Care Facility