Table of content for "Oxygen tent excl croup/ped t" (HCPCS E0455)
General information on the “E0455” code
HCPCS Code: E0455
Long Description: Oxygen tent, excluding croup or pediatric tents
Short Description: Oxygen tent excl croup/ped t
Original information is taken from E0455 page
Pricing indicators
Pricing Indicator Code 1: 33 – Oxygen and oxygen equipment (price subject to floors and ceilings). Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology
Certification and additional reference information
Coverage Issues Manual Reference Section Number 1: 60-4
Coverage
Coverage: D – Special coverage instructions apply
Type of service
Berenson-Eggers Type of Service (BETOS): D1C – Oxygen and supplies
Type Of Service 1: R – Rental of DME
Misc information
Anesthesia Base Unit Quantity: 0
Code Added Date: 19860101
Code Effective Date: 19900101
Action Code: N – No maintenance for this code