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Oxygen

·                 Covered for patients with significant hypoxemia in the chronic stable state when:

·                         patient has a chronic lung condition or disease or hypoxemia that might be expected to improve with oxygen therapy, and

·                         patient’s blood gas levels or oxygen saturation levels indicate the need for oxygen therapy, and

·                         alternative treatments have been tried or deemed clinically ineffective.

·                 Categories/Groups are based on the test results to measure your oxygen:

·                         I 55≤ mmHg, or 88%≤ saturation

·                 For these results you must return to your physician 12 months after the initial visit to continue therapy for lifetime or until the need is expected to end. Typically, you will not have to be retested when you return to your physician for the follow-up visit.

·                 II 56-59 mmHg, or 89% saturation

·                         For these results, you must be retested within 3 months of the first test to continue therapy for lifetime or until the need is expected to end.

·                 III ≥60 or ≥90% not medically necessary.

Oxygen will be paid as a rental for the first 36 months. After that time if you still need the equipment Medicare will no longer make rental payments on the equipment. If your deductible and copays are met, the equipment title will transfer to you. Medicare will then pay for refilling your oxygen cylinders and for repairs and service of your equipment. Medicare will also separately pay for oxygen accessories such as tubing, masks, and cannulas after the purchase price has been met.