E0433 — 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
HCPCS Level II E-code · short descriptor: “Portable liquid oxygen sys”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Carrier judgment — coverage decided by the DME MAC
- 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.
E0433 Medicare fee schedule (April 2026)
RR — Monthly rental Oxygen & oxygen equipment
Medicare allowable ranges from $46.28 to $51.63 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $51.63 | — |
| AL | $47.94 | $51.63 |
| AR | $47.94 | $51.63 |
| AZ | $47.17 | $51.63 |
| CA | $48.20 | $51.63 |
| CO | $50.70 | $51.63 |
| CT | $50.81 | $51.63 |
| DC | $49.59 | $51.63 |
| DE | $49.59 | $51.63 |
| FL | $47.94 | $51.63 |
| GA | $47.94 | $51.63 |
| HI | $51.63 | — |
| IA | $49.53 | $51.63 |
| ID | $50.70 | $51.63 |
| IL | $46.28 | $51.63 |
| IN | $46.28 | $51.63 |
| KS | $49.53 | $51.63 |
| KY | $47.94 | $51.63 |
| LA | $47.94 | $51.63 |
| MA | $50.81 | $51.63 |
| MD | $49.59 | $51.63 |
| ME | $50.81 | $51.63 |
| MI | $46.28 | $51.63 |
| MN | $49.53 | $51.63 |
| MO | $49.53 | $51.63 |
| MS | $47.94 | $51.63 |
| MT | $50.70 | $51.63 |
| NC | $47.94 | $51.63 |
| ND | $49.53 | $51.63 |
| NE | $49.53 | $51.63 |
| NH | $50.81 | $51.63 |
| NJ | $49.59 | $51.63 |
| NM | $47.17 | $51.63 |
| NV | $48.20 | $51.63 |
| NY | $49.59 | $51.63 |
| OH | $46.28 | $51.63 |
| OK | $47.17 | $51.63 |
| OR | $48.20 | $51.63 |
| PA | $49.59 | $51.63 |
| PR | $51.63 | — |
| RI | $50.81 | $51.63 |
| SC | $47.94 | $51.63 |
| SD | $49.53 | $51.63 |
| TN | $47.94 | $51.63 |
| TX | $47.17 | $51.63 |
| UT | $50.70 | $51.63 |
| VA | $47.94 | $51.63 |
| VI | $51.63 | — |
| VT | $50.81 | $51.63 |
| WA | $48.20 | $51.63 |
| WI | $46.28 | $51.63 |
| WV | $47.94 | $51.63 |
| WY | $50.70 | $51.63 |
RR + QB — Monthly rental Oxygen & oxygen equipment
Medicare allowable ranges from $48.20 to $88.58 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $88.58 | — |
| AL | $50.11 | $88.58 |
| AR | $50.11 | $88.58 |
| AZ | $49.08 | $88.58 |
| CA | $48.20 | $88.58 |
| CO | $50.70 | $88.58 |
| CT | $50.81 | $88.58 |
| DC | $49.59 | $88.58 |
| DE | $49.59 | $88.58 |
| FL | $50.11 | $88.58 |
| GA | $50.11 | $88.58 |
| HI | $88.58 | — |
| IA | $50.08 | $88.58 |
| ID | $50.70 | $88.58 |
| IL | $49.66 | $88.58 |
| IN | $49.66 | $88.58 |
| KS | $50.08 | $88.58 |
| KY | $50.11 | $88.58 |
| LA | $50.11 | $88.58 |
| MA | $50.81 | $88.58 |
| MD | $49.59 | $88.58 |
| ME | $50.81 | $88.58 |
| MI | $49.66 | $88.58 |
| MN | $50.08 | $88.58 |
| MO | $50.08 | $88.58 |
| MS | $50.11 | $88.58 |
| MT | $50.70 | $88.58 |
| NC | $50.11 | $88.58 |
| ND | $50.08 | $88.58 |
| NE | $50.08 | $88.58 |
| NH | $50.81 | $88.58 |
| NJ | $49.59 | $88.58 |
| NM | $49.08 | $88.58 |
| NV | $48.20 | $88.58 |
| NY | $49.59 | $88.58 |
| OH | $49.66 | $88.58 |
| OK | $49.08 | $88.58 |
| OR | $48.20 | $88.58 |
| PA | $49.59 | $88.58 |
| PR | $88.58 | — |
| RI | $50.81 | $88.58 |
| SC | $50.11 | $88.58 |
| SD | $50.08 | $88.58 |
| TN | $50.11 | $88.58 |
| TX | $49.08 | $88.58 |
| UT | $50.70 | $88.58 |
| VA | $50.11 | $88.58 |
| VI | $88.58 | — |
| VT | $50.81 | $88.58 |
| WA | $48.20 | $88.58 |
| WI | $49.66 | $88.58 |
| WV | $50.11 | $88.58 |
| WY | $50.70 | $88.58 |
RR + QF — Monthly rental Oxygen & oxygen equipment
Medicare allowable ranges from $48.20 to $88.58 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $88.58 | — |
| AL | $50.11 | $88.58 |
| AR | $50.11 | $88.58 |
| AZ | $49.08 | $88.58 |
| CA | $48.20 | $88.58 |
| CO | $50.70 | $88.58 |
| CT | $50.81 | $88.58 |
| DC | $49.59 | $88.58 |
| DE | $49.59 | $88.58 |
| FL | $50.11 | $88.58 |
| GA | $50.11 | $88.58 |
| HI | $88.58 | — |
| IA | $50.08 | $88.58 |
| ID | $50.70 | $88.58 |
| IL | $49.66 | $88.58 |
| IN | $49.66 | $88.58 |
| KS | $50.08 | $88.58 |
| KY | $50.11 | $88.58 |
| LA | $50.11 | $88.58 |
| MA | $50.81 | $88.58 |
| MD | $49.59 | $88.58 |
| ME | $50.81 | $88.58 |
| MI | $49.66 | $88.58 |
| MN | $50.08 | $88.58 |
| MO | $50.08 | $88.58 |
| MS | $50.11 | $88.58 |
| MT | $50.70 | $88.58 |
| NC | $50.11 | $88.58 |
| ND | $50.08 | $88.58 |
| NE | $50.08 | $88.58 |
| NH | $50.81 | $88.58 |
| NJ | $49.59 | $88.58 |
| NM | $49.08 | $88.58 |
| NV | $48.20 | $88.58 |
| NY | $49.59 | $88.58 |
| OH | $49.66 | $88.58 |
| OK | $49.08 | $88.58 |
| OR | $48.20 | $88.58 |
| PA | $49.59 | $88.58 |
| PR | $88.58 | — |
| RI | $50.81 | $88.58 |
| SC | $50.11 | $88.58 |
| SD | $50.08 | $88.58 |
| TN | $50.11 | $88.58 |
| TX | $49.08 | $88.58 |
| UT | $50.70 | $88.58 |
| VA | $50.11 | $88.58 |
| VI | $88.58 | — |
| VT | $50.81 | $88.58 |
| WA | $48.20 | $88.58 |
| WI | $49.66 | $88.58 |
| WV | $50.11 | $88.58 |
| WY | $50.70 | $88.58 |
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
Related E-codes
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