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See a sample rate comparisonHCPCS E0431 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Oxygen Delivery Systems and Related Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for E0431 |
National average reimbursement for HCPCS E0431 by major payers:
$36.41
$150.86
$126.19
$178.08
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HCPCS E0431
5 of 25 sample ratesHigher to lower in this preview
Airway Oxygen, Inc.
Airway Oxygen Inc / Tricorex Inc
$474.60Published rateNorthwood Inc, Care Connection Plus
/ 180 Medical Inc / Abc Home Medical Supply Inc
$143.85Published rateInfectious Disease Center, P.C.
Infectious Disease Center PC
$23.02Published rateCarelinc Medical Equipment & Supply Co LLC
Carelinc Medical Equipment Supply Co LLC
$16.19Published rateThe Pain Center Usa PLLC
$9.81Published rate
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See a sample payer proposalHCPCS E0431 vs. Other Oxygen Delivery Systems and Related Supplies Codes
The HCPCS E0431 code is part of the Durable Medical Equipment services used for Oxygen Delivery Systems and Related Supplies. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS E0431 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| E0430-HCPCS | Moderate | Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing |
| E0431-HCPCS | Low | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing |
| E0433-HCPCS | Low | Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with or without supply reservoir and contents gauge |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0431. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0431 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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