E0455 – Oxygen tent, excluding croup or pediatric tents

HCPCS Level II code · E codes: Durable Medical Equipment (DME)

Active code Special coverage instructions apply

HCPCS codeE0455
Long description
Oxygen tent, excluding croup or pediatric tents
Short description
Oxygen tent excl croup/ped t
Pricing indicator
33 DME – oxygen and oxygen equipment
Medicare coverage
D Special coverage instructions apply
BETOS category
D1C Oxygen and supplies
Added
January 1, 1986
Last change
January 1, 1990 – No change

Frequently asked questions

What is HCPCS code E0455?

E0455 is a HCPCS Level II code for oxygen tent, excluding croup or pediatric tents.

Does Medicare cover E0455?

The HCPCS file lists coverage code D: Special coverage instructions apply. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby E codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.