Name of Manual - Blue Cross and Blue Shield of Minnesota

Portable Oxygen
Billing (continued)
Code Definition
Coding Policies and Guidelines (Durable Medical Equipment)
E0430 Portable gaseous oxygen system, purchase; includes
regulator, flowmeter, humidifier, cannula or mask,
and tubing
E0431 Portable gaseous oxygen system, rental; includes
portable container, regulator, flowmeter, humidifier,
cannula or mask, and tubing
E0434 Portable liquid oxygen system, rental; includes
portable container, supply reservoir, humidifier,
flowmeter, refill adaptor, contents gauge, cannula or
mask, and tubing
E0435 Portable liquid oxygen system, purchase; includes
portable container, supply reservoir, flowmeter,
humidifier, contents gauge, cannula or mask, tubing
and refill adaptor
Coding Modifiers Blue Cross requires all DME providers to submit procedure code
modifiers to differentiate rental, purchase and repair or
replacement of DME. Modifiers include the following:
Rental Modifiers:
BR The beneficiary has been informed of the purchase and
rental options and has elected to rent the item
LL Lease/rental (Use the LL modifier when DME equipment
rental is to be applied against the purchase price)
RR Rental (Use the RR modifier when DME is to be rented)
Purchase Modifiers:
BP The beneficiary has been informed of the purchase and
rental options and has elected to purchase the item
NR New when rented. (Use the NR modifier when DME which
was new at the time of rental is subsequently purchased.)
NU New equipment
RA Replacement of a DME, orthotic or prosthetic item
RB Replacement of a part of DME, orthotic or prosthetic item
furnished as part of a repair
Note: The modifiers BU or UE are not recognized in processing.
Blue Cross and Blue Shield of Minnesota Provider Policy and Procedure Manual (08/15/2012)
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