[homeside]

We just started providing portable EverGo concentrators. Just wondering how we bill for this? Do we still bill for E1390 for stationary concentrator, and then just use E0431 for the portable? Or is there another code for the EverGo? We have E1392, but will Medicare cover both E1390 and E1392 since they are both listed as concentrators??

[leejgbt]

You want to bill E1390 for the stationary concentrator and E1392 (which has a higher reimbursement than E0431). If you used a portable concentrator that is used for both stationary and home (like the Sequal Eclipse) you can bill both codes for one concentrator!

[Michelle Gable]

E1392 will now take place of your E0431 billing. The LCD article explains alot for you. The only downfall for you is that you cannot bill for contents after the 36th mo when you bill E1392.

[huddleston2003]

Thanks Michelle!

> To: huddleston2003@hotmail.com
> Subject: [HMETALK] RE: [Respiratory / Oxygen / Sleep-t-542] Portable Oxygen Concentrator Billing
> From: mailer@hmetalk.com
> Date: Mon, 10 Jan 2011 21:09:01 -0500
> From:
>
> E1392 will now take place of your E0431 billing. The LCD article explains alot for you. The only downfall for you is that you cannot bill for contents after the 36th mo when you bill E1392.
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[Crystal Lofton]

Please confirm that I am understanding this billing process correctly, if a patient mets the criteria for portables, we can supply the patient with a portable concentrator and bill E1390 along with E1392?

[als2864]

Yes, if the patient qualifies for portables then you can bill both the E1392 and E1390. However, if the patient is only going to use the Evergo you can still bill both codes. Portable concentrators are a dual coded item... E1392 and E1390.

[huddleston2003]

I think we may be missing something. When we tried to bill E1390 and E1392 together we received a denial for same and similar and were only paid for the E1392. Could someone clarify this for us please? Thank you.

> To: huddleston2003@hotmail.com
> Subject: [HMETALK] RE: [Respiratory / Oxygen / Sleep-t-542] Portable Oxygen Concentrator Billing
> From: mailer@hmetalk.com
> Date: Thu, 26 Jan 2012 21:55:12 -0500
> From:
>
> Yes, if the patient qualifies for portables then you can bill both the E1392 and E1390. However, if the patient is only going to use the Evergo you can still bill both codes. Portable concentrators are a dual coded item... E1392 and E1390.
>
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[als2864]

Code E1392 describes an oxygen concentrator which is designed to be portable, is capable of delivering 85% or greater oxygen concentration, and is capable of operating on either AC or DC (e.g., auto accessory outlet) power. Code E1392 includes the device itself, an integrated battery or patient-replaceable batteries that are capable of providing at least 2 hours of remote portability at a minimum of 2 LPM equivalency, a battery charger, an AC power adapter, a DC power adapter, and a carry bag and/or cart. The combined weight of the concentrator and the battery/batteries capable of 2 hours of portability must be 20 pounds or less. If a concentrator meets all of these criteria and is also capable of functioning as a stationary concentrator, operating 24 hours per day, 7 days per week, the stationary concentrator code (E1390) is billed in addition to code E1392.


That is direcly from the Medicare LCD.