E0439 — Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing
HCPCS Level II E-code · short descriptor: “Stationary liquid 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.
E0439 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.
| State | Non-rural | Rural |
|---|---|---|
| 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.
| State | Non-rural | Rural |
|---|---|---|
| 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.
| State | Non-rural | Rural |
|---|---|---|
| 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
Related E-codes
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