MyMedi-AI

E1353 — Regulator

HCPCS Level II E-code · short descriptor: “Oxygen supplies regulator”

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.

E1353 Medicare fee schedule (April 2026)

Base (no modifier) Oxygen & oxygen equipment

Medicare allowable ranges from $40.36 to $48.46 depending on state and rural status.

Former-CBA payment limits: ceiling $40.36 · floor $34.31

StateNon-ruralRural
AK$40.36
AL$40.36
AR$40.36
AZ$40.36
CA$40.36
CO$40.36
CT$40.36
DC$40.36
DE$40.36
FL$40.36
GA$40.36
HI$40.36
IA$40.36
ID$40.36
IL$40.36
IN$40.36
KS$40.36
KY$40.36
LA$40.36
MA$40.36
MD$40.36
ME$40.36
MI$40.36
MN$40.36
MO$40.36
MS$40.36
MT$40.36
NC$40.36
ND$40.36
NE$40.36
NH$40.36
NJ$40.36
NM$40.36
NV$40.36
NY$40.36
OH$40.36
OK$40.36
OR$40.36
PA$40.36
PR$48.46
RI$40.36
SC$40.36
SD$40.36
TN$40.36
TX$40.36
UT$40.36
VA$40.36
VI$40.36
VT$40.36
WA$40.36
WI$40.36
WV$40.36
WY$40.36
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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