How To Use HCPCS Code E0440

HCPCS code E0440 describes a stationary liquid oxygen system that is used for the delivery of oxygen to patients who require supplemental oxygen therapy. This code covers the purchase of the system, which includes various components such as a reservoir, contents indicator, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing. It falls under the category of enteral supplies not otherwise classified.

1. What is HCPCS E0440?

HCPCS code E0440 is used to identify a specific type of stationary liquid oxygen system that is purchased for the purpose of delivering oxygen to patients. This code is used to indicate the purchase of the system, which includes various components necessary for oxygen therapy.

2. Official Description

The official description of HCPCS code E0440 is “Stationary liquid oxygen system, purchase; includes use of reservoir, contents indicator, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing.” The short description for this code is “Enteral supplies not otherwise classified.”

3. Procedure

1. First, the healthcare provider assesses the patient’s need for supplemental oxygen therapy.
2. If it is determined that the patient requires oxygen therapy, the provider prescribes a stationary liquid oxygen system.
3. The provider then orders the necessary components, including a reservoir, contents indicator, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing.
4. The patient or their caregiver purchases the stationary liquid oxygen system.
5. The system is set up according to the manufacturer’s instructions, ensuring that all components are properly connected and functioning.
6. The patient or caregiver is educated on the proper use and maintenance of the system.

4. When to use HCPCS code E0440

HCPCS code E0440 should be used when a patient requires a stationary liquid oxygen system for supplemental oxygen therapy. This code is specifically for the purchase of the system and includes the necessary components for oxygen delivery. It is important to note that this code is not applicable for other types of oxygen systems or for emergency situations where immediate medical attention is required.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0440, healthcare providers should ensure that the following documentation is included:

• A prescription or order for the stationary liquid oxygen system
• An itemized list of the components included in the system
• Proof of purchase or invoice
• Documentation of patient education on the use and maintenance of the system

6. Historical Information and Code Maintenance

HCPCS code E0440 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code.

7. Medicare and Insurance Coverage

HCPCS code E0440 is covered by Medicare and other insurance carriers. The pricing indicator code for this code is 57, which indicates that it is priced by carriers other than Medicare. The multiple pricing indicator code is A, which means that it is not applicable as HCPCS is priced under one methodology. Providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for specific guidelines on coverage and reimbursement.

8. Examples

Here are some examples of when HCPCS code E0440 should be billed:

1. A patient with chronic obstructive pulmonary disease (COPD) requires supplemental oxygen therapy at home. The provider prescribes a stationary liquid oxygen system, and the patient purchases the system.
2. A patient with severe asthma requires oxygen therapy during exacerbations. The provider prescribes a stationary liquid oxygen system, and the patient purchases the system.
3. A patient with interstitial lung disease requires continuous oxygen therapy. The provider prescribes a stationary liquid oxygen system, and the patient purchases the system.
4. A patient with cystic fibrosis requires oxygen therapy during physical activity. The provider prescribes a stationary liquid oxygen system, and the patient purchases the system.
5. A patient with pulmonary hypertension requires oxygen therapy at night. The provider prescribes a stationary liquid oxygen system, and the patient purchases the system.