About this policy
CMS NCA document | source_status=Closed | review_type=New | public_comment_open=False | document_id=CAG-00296N
Coverage indications
The Centers for Medicare & Medicaid Services (CMS) will cover the home use of oxygen as detailed in Section 240.2 of the CMS National Coverage Determinations Manual for beneficiaries who have arterial oxygen partial pressure measurements from 56 to 65 mmHg or oxygen saturation at or above 89% when they are enrolled in clinical trials approved by CMS and sponsored by the National Heart, Lung & Blood Institute (NHLBI). The list of identified trials that are covered will be listed on the following CMS website: http://www.cms.hhs.gov/coverage . This decision does not modify the existing requirement for coverage of oxygen currently identified in Section 240.2. As a condition of coverage, investigators must adhere to the provisions of Health Insurance Portability and Accountability Act (HIPAA), the Privacy Act, Paperwork Reduction Act (PRA), and 45 CFR Part 46, if applicable. We are adding the following text to Section 240.2.D.3(c) of the National Coverage Determinations Manual: The home use of oxygen is covered for those beneficiaries with arterial oxygen partial pressure measurements from 56 to 65 mmHg or oxygen saturation at or above 89% who are enrolled subjects in clinical trials approved by CMS and sponsored by the National Heart, Lung & Blood Institute (NHLBI).
Codes in this policy
Code numbers and each code’s status as the policy records it. CPT code descriptions are left out of this page, as are the passages that cite CPT codes; the official document has them.
Backwork has no codes on record for this policy. Check the source.