2025 HCPCS code E1392
(Active) Effective Date: N/A Revision Date: N/A Durable Medical Equipment (DME) - Accessories for Oxygen Delivery Devices E- Durable Medical Equipment Feed
Rental of a portable oxygen concentrator.
Modifiers may be applicable depending on the circumstances of the rental and the payer's guidelines. Consult payer-specific guidelines for allowed modifiers.
Medical necessity is established by the physician's documentation supporting the patient's need for supplemental oxygen based on their underlying respiratory condition or other documented health issue. This could include relevant diagnostic tests, clinical findings, and the necessity for portable oxygen to improve quality of life or manage symptoms.
The clinical responsibility lies with the physician or other qualified healthcare professional who prescribes the portable oxygen concentrator based on the patient's medical need for supplemental oxygen.Appropriate documentation of the patient's condition and the medical necessity for the rental is required for reimbursement.
- E- Durable Medical Equipment
- E- Durable Medical Equipment > Accessories for Oxygen Delivery Devices
In simple words: This code covers renting a small, easy-to-carry device that provides oxygen.It includes the machine, battery, charger, and carrying case. The device must last at least two hours on battery power.
HCPCS code E1392 represents the rental of a portable oxygen concentrator. This device is designed for portability, delivers at least 85% oxygen concentration, and operates on AC or DC power.The code includes the concentrator, battery (integrated or replaceable for at least 2 hours of use at 2 liters per minute), charger, AC and DC adapters, and a carry bag or cart. The combined weight of the concentrator and battery sufficient for 2 hours of use must not exceed 20 pounds. If the concentrator also functions as a stationary device (24/7 operation), code E1390 is billed in addition to E1392.
Example 1: A patient with chronic obstructive pulmonary disease (COPD) requires supplemental oxygen and is prescribed a portable oxygen concentrator for use at home and during travel. Code E1392 is used to bill for the rental of the device., A patient recovering from pneumonia needs supplemental oxygen during rehabilitation. A portable oxygen concentrator is rented for use during their hospital stay and subsequent home recovery. Code E1392 is utilized to bill for the concentrator rental., A patient with cystic fibrosis needs portable oxygen therapy for improved exercise tolerance and respiratory support, especially during physical activity. Code E1392 is used for billing the rental of the portable device.
Documentation should include a physician's order specifying the need for supplemental oxygen, the patient's diagnosis, the prescribed oxygen flow rate, and the duration of the rental period.Copies of the device specifications and any relevant patient assessments should also be included for proper audit trail.
** The information provided is for general guidance only and should not be considered exhaustive.Always refer to the most current HCPCS coding guidelines, payer policies, and local coverage determinations for definitive coding and reimbursement information.
- Payment Status: Active
- Modifier TC rule: A Technical Component (TC) modifier is not typically applicable to this code as it represents a rental of a complete unit.However, it's recommended to check with the specific payer.
- Specialties:Pulmonology, Respiratory Therapy, Home Healthcare
- Place of Service:Home, Office, Hospital (Inpatient and Outpatient)