US · guidance
CMS Pub. 100-04, ch. 20, § 130.6.1
Oxygen Equipment and Contents Billing Chart
The following chart indicates what oxygen fee schedule component is billable/payable
under various transaction scenarios for providers and suppliers:
1. Situation: Beneficiary Uses a Stationary System Only
a. Rental Cases (Beneficiary Uses a Stationary System Only)
Type of System Stationary
Monthly
Payment
Oxygen
Content Fee
Portable
Add-On
Portable
Contents Fee
Concentrator Yes No No No
Type of System Stationary
Monthly
Payment
Oxygen
Content Fee
Portable
Add-On
Portable
Contents Fee
E1377
E1378
E1379
E1380
E1381
E1382
E1383
E1384
E1385
E1400
E1401
E1402
E1403
E1404
E1405
E1406
Type of System Stationary
Monthly
Payment
Oxygen
Content Fee
Portable
Add-On
Portable
Contents Fee
Gaseous Yes No No No
E0424
Liquid Yes No No No
E0439
b. Purchase Cases (Beneficiary Uses a Stationary System Only)
Type of System Stationary
Monthly
Payment
Oxygen
Content Fee
Portable
Add-On
Portable
Contents Fee
Concentrator No No No No
Gaseous No Yes No No
E0441
Liquid No Yes No No
E0442
2. Situation: Beneficiary Uses Both a Stationary and Portable System
a. Rents Stationary/Rents Portable
Type of System Stationary
Monthly
Payment
Oxygen
Content Fee
Portable
Add-On
Portable
Contents Fee
Concentrator Yes No Yes No
E1377
E1378
E1379
E1380
E1381
E1382
E1383
E1384
E1385
E1400
E1401
E1402
E1403
E1404
E1405
E1406
E0431
E0434
Gaseous Yes No Yes No
E0424 E0431
Liquid Yes No Yes No
E0439 E0434
b. Rents Stationary/Owns Portable
Type of System Stationary
Monthly
Payment
Oxygen
Content Fee
Portable
Add-On
Portable
Contents Fee
Concentrator Yes No No No
E1377
E1378
E1379
E1380
E1381
E1382
E1383
E1384
E1385
E1400
E1401
E1402
E1403
E1404
E1405
E1406
Gaseous Yes No No No
E0424
Liquid Yes No No No
E0439
c. Owns Stationary/Owns Portable
Type of System
Stationary
Monthly
Payment
Oxygen
Content Fee
Portable Add-On
Portable
Contents Fee
Concentrator No No No Yes
E0443
E0444
Gaseous No Yes No No
E0441
Liquid No Yes No No
E0442
d. Owns Stationary/Rents Portable
Type of System Stationary
Monthly
Payment
Oxygen
Content Fee
Portable Add-On
Portable
Contents Fee
Concentrator No No Yes Yes
E0431
E0434
E0443
E0444
Gaseous No Yes Yes No
E0441 E0431
Liquid No Yes Yes No
E0442 E0434
3. Situation: Beneficiary Uses a Portable System Only
a. Rents Portable System (Beneficiary Uses a Portable System Only)
Type of System Stationary
Monthly
Payment
Oxygen
Content Fee
Portable
Add-On
Portable
Contents Fee
Gaseous No No Yes Yes
E0431 E0443
Type of System Stationary
Monthly
Payment
Oxygen
Content Fee
Portable
Add-On
Portable
Contents Fee
Liquid No No Yes Yes
E0434 E0444
b. Owns Portable System (Beneficiary Uses a Portable System Only)
Type of System Stationary
Monthly
Payment
Oxygen
Content Fee
Portable
Add-On
Portable
Contents Fee
Gaseous No No No Yes
E0443
Liquid No No No Yes
E0444
NOTE: For HHAs revenue codes 0601, 0602, 0603, and 0604 may apply when billing
for oxygen under the situations in this chart.
History
(Rev. 1, 10-01-03)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
d2096c95d2144fe230fd5d00b3c137d99ee636c9c4aac1d70d4e8609802af2ad
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