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E1352

E1352Oxygen accessory, flow regulator capable of positive inspiratory pressure

HCPCSActiveBETOS D1C

E1352 is a HCPCS Level II code for oxygen accessory, flow regulator capable of positive inspiratory pressure. It belongs to the Durable Medical Equipment section. Whether Medicare pays it depends on the coverage rule below.

Medicare coverage: Carrier judgment

Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.

From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.

Medically Unlikely Edits — units per day

The most units of E1352 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.

practitioner
0 — never payable
MAI 3 — Date of Service Edit: Clinical · CMS Policy
outpatient
0 — never payable
MAI 3 — Date of Service Edit: Clinical · CMS Policy
DME supplier
0 — never payable
MAI 3 — Date of Service Edit: Clinical · CMS Policy

The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.

The CMS record for E1352

Long descriptor
Oxygen accessory, flow regulator capable of positive inspiratory pressure

The official wording. This is what the code means.

Short descriptor
O2 flow reg pos inspir press

CMS's 28-character form, which is what shows up on a remittance advice.

Added
January 1, 2014

When CMS introduced the code.

BETOS
D1C

Berenson-Eggers Type of Service — CMS's own analytic grouping.

Pricing indicator
00 — Not priced by Part B

Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.

Codes adjacent to E1352

HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If E1352 is not quite right, the correct code is very often within a few positions of it.

  • E1290Heavy duty wheelchair, detachable arms (desk or full length) swing away detachable footrest
  • E1295Heavy duty wheelchair, fixed full length arms, elevating legrest
  • E1296Special wheelchair seat height from floor
  • E1297Special wheelchair seat depth, by upholstery
  • E1298Special wheelchair seat depth and/or width, by construction
  • E1300Whirlpool, portable (overtub type)
  • E1301Whirlpool tub, walk-in, portable
  • E1310Whirlpool, non-portable (built-in type)
  • E1353Regulator
  • E1354Oxygen accessory, wheeled cart for portable cylinder or portable concentrator, any type, replacement only, each
  • E1355Stand/rack
  • E1356Oxygen accessory, battery pack/cartridge for portable concentrator, any type, replacement only, each
  • E1357Oxygen accessory, battery charger for portable concentrator, any type, replacement only, each
  • E1358Oxygen accessory, dc power adapter for portable concentrator, any type, replacement only, each
  • E1372Immersion external heater for nebulizer
  • E1390Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate

Questions about E1352

What is HCPCS code E1352?

E1352 is a HCPCS Level II code for oxygen accessory, flow regulator capable of positive inspiratory pressure. It sits in the Durable Medical Equipment section.

Does Medicare cover E1352?

The CMS HCPCS file marks E1352 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.

HCPCS Level II2026Q3-Jul· effective July 1, 2026