E0442 — Stationary oxygen contents, liquid, 1 month's supply = 1 unit
HCPCS Level II E-code · short descriptor: “Stationary o2 contents, liq”
- 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
- Face-to-face & WOPD
- Not on the required 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.
Order readiness — what the written order must contain
Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):
- Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
- General description of the item (42 CFR 410.38(d)(1)(i)(B))
- Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
- Order date (42 CFR 410.38(d)(1)(i)(D))
- Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
- Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))
Not on the F2F/WOPD list (April 13, 2026 update — 83 items). The standard written order must reach the supplier before claim submission.
Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.
E0442 Medicare fee schedule (April 2026)
Base (no modifier) Oxygen & oxygen equipment
Medicare allowable ranges from $61.92 to $75.90 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $75.90 | — |
| AL | $68.28 | $75.84 |
| AR | $68.28 | $75.84 |
| AZ | $67.83 | $75.84 |
| CA | $68.87 | $75.84 |
| CO | $70.29 | $75.84 |
| CT | $66.17 | $75.84 |
| DC | $61.92 | $75.84 |
| DE | $61.92 | $75.84 |
| FL | $68.28 | $75.84 |
| GA | $68.28 | $75.84 |
| HI | $75.90 | — |
| IA | $68.98 | $75.84 |
| ID | $70.29 | $75.84 |
| IL | $67.56 | $75.84 |
| IN | $67.56 | $75.84 |
| KS | $68.98 | $75.84 |
| KY | $68.28 | $75.84 |
| LA | $68.28 | $75.84 |
| MA | $66.17 | $75.84 |
| MD | $61.92 | $75.84 |
| ME | $66.17 | $75.84 |
| MI | $67.56 | $75.84 |
| MN | $68.98 | $75.84 |
| MO | $68.98 | $75.84 |
| MS | $68.28 | $75.84 |
| MT | $70.29 | $75.84 |
| NC | $68.28 | $75.84 |
| ND | $68.98 | $75.84 |
| NE | $68.98 | $75.84 |
| NH | $66.17 | $75.84 |
| NJ | $61.92 | $75.84 |
| NM | $67.83 | $75.84 |
| NV | $68.87 | $75.84 |
| NY | $61.92 | $75.84 |
| OH | $67.56 | $75.84 |
| OK | $67.83 | $75.84 |
| OR | $68.87 | $75.84 |
| PA | $61.92 | $75.84 |
| PR | $75.90 | — |
| RI | $66.17 | $75.84 |
| SC | $68.28 | $75.84 |
| SD | $68.98 | $75.84 |
| TN | $68.28 | $75.84 |
| TX | $67.83 | $75.84 |
| UT | $70.29 | $75.84 |
| VA | $68.28 | $75.84 |
| VI | $75.90 | — |
| VT | $66.17 | $75.84 |
| WA | $68.87 | $75.84 |
| WI | $67.56 | $75.84 |
| WV | $68.28 | $75.84 |
| WY | $70.29 | $75.84 |
Common denial codes to watch
Related E-codes
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