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E0424 — Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing

HCPCS Level II E-code · short descriptor: “Stationary compressed gas 02”

Code system
HCPCS Level II
Family
E — Durable medical equipment
Medicare coverage status
Special coverage instructions apply
DMEPOS payment category
Oxygen & oxygen equipment
Prior authorization
Not on Medicare required-PA list
Status
Active (April 2026 HCPCS)

Prior authorization

Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

E0424 Medicare fee schedule (April 2026)

RR — Monthly rental Oxygen & oxygen equipment

Medicare allowable ranges from $94.56 to $177.16 depending on state and rural status.

StateNon-ruralRural
AK$177.16—
AL$100.21$177.16
AR$100.21$177.16
AZ$98.16$177.16
CA$94.56$177.16
CO$101.12$177.16
CT$99.53$177.16
DC$96.39$177.16
DE$96.39$177.16
FL$100.21$177.16
GA$100.21$177.16
HI$177.16—
IA$100.16$177.16
ID$101.12$177.16
IL$99.31$177.16
IN$99.31$177.16
KS$100.16$177.16
KY$100.21$177.16
LA$100.21$177.16
MA$99.53$177.16
MD$96.39$177.16
ME$99.53$177.16
MI$99.31$177.16
MN$100.16$177.16
MO$100.16$177.16
MS$100.21$177.16
MT$101.12$177.16
NC$100.21$177.16
ND$100.16$177.16
NE$100.16$177.16
NH$99.53$177.16
NJ$96.39$177.16
NM$98.16$177.16
NV$94.56$177.16
NY$96.39$177.16
OH$99.31$177.16
OK$98.16$177.16
OR$94.56$177.16
PA$96.39$177.16
PR$177.16—
RI$99.53$177.16
SC$100.21$177.16
SD$100.16$177.16
TN$100.21$177.16
TX$98.16$177.16
UT$101.12$177.16
VA$100.21$177.16
VI$177.16—
VT$99.53$177.16
WA$94.56$177.16
WI$99.31$177.16
WV$100.21$177.16
WY$101.12$177.16

RR + QB — Monthly rental Oxygen & oxygen equipment

Medicare allowable ranges from $94.56 to $177.16 depending on state and rural status.

StateNon-ruralRural
AK$177.16—
AL$100.21$177.16
AR$100.21$177.16
AZ$98.16$177.16
CA$94.56$177.16
CO$101.12$177.16
CT$99.53$177.16
DC$96.39$177.16
DE$96.39$177.16
FL$100.21$177.16
GA$100.21$177.16
HI$177.16—
IA$100.16$177.16
ID$101.12$177.16
IL$99.31$177.16
IN$99.31$177.16
KS$100.16$177.16
KY$100.21$177.16
LA$100.21$177.16
MA$99.53$177.16
MD$96.39$177.16
ME$99.53$177.16
MI$99.31$177.16
MN$100.16$177.16
MO$100.16$177.16
MS$100.21$177.16
MT$101.12$177.16
NC$100.21$177.16
ND$100.16$177.16
NE$100.16$177.16
NH$99.53$177.16
NJ$96.39$177.16
NM$98.16$177.16
NV$94.56$177.16
NY$96.39$177.16
OH$99.31$177.16
OK$98.16$177.16
OR$94.56$177.16
PA$96.39$177.16
PR$177.16—
RI$99.53$177.16
SC$100.21$177.16
SD$100.16$177.16
TN$100.21$177.16
TX$98.16$177.16
UT$101.12$177.16
VA$100.21$177.16
VI$177.16—
VT$99.53$177.16
WA$94.56$177.16
WI$99.31$177.16
WV$100.21$177.16
WY$101.12$177.16

RR + QF — Monthly rental Oxygen & oxygen equipment

Medicare allowable ranges from $94.56 to $177.16 depending on state and rural status.

StateNon-ruralRural
AK$177.16—
AL$100.21$177.16
AR$100.21$177.16
AZ$98.16$177.16
CA$94.56$177.16
CO$101.12$177.16
CT$99.53$177.16
DC$96.39$177.16
DE$96.39$177.16
FL$100.21$177.16
GA$100.21$177.16
HI$177.16—
IA$100.16$177.16
ID$101.12$177.16
IL$99.31$177.16
IN$99.31$177.16
KS$100.16$177.16
KY$100.21$177.16
LA$100.21$177.16
MA$99.53$177.16
MD$96.39$177.16
ME$99.53$177.16
MI$99.31$177.16
MN$100.16$177.16
MO$100.16$177.16
MS$100.21$177.16
MT$101.12$177.16
NC$100.21$177.16
ND$100.16$177.16
NE$100.16$177.16
NH$99.53$177.16
NJ$96.39$177.16
NM$98.16$177.16
NV$94.56$177.16
NY$96.39$177.16
OH$99.31$177.16
OK$98.16$177.16
OR$94.56$177.16
PA$96.39$177.16
PR$177.16—
RI$99.53$177.16
SC$100.21$177.16
SD$100.16$177.16
TN$100.21$177.16
TX$98.16$177.16
UT$101.12$177.16
VA$100.21$177.16
VI$177.16—
VT$99.53$177.16
WA$94.56$177.16
WI$99.31$177.16
WV$100.21$177.16
WY$101.12$177.16
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026. Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%. A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area adjustments and non-continental rates can differ — verify with your DME MAC.

Common denial codes to watch

CO-50 medical necessity

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