Critical Path Network

CMS extends coverage for some O2 patients

The Centers for Medicare & Medicaid Services (CMS) will extend coverage for the home use of oxygen to Medicare beneficiaries enrolled in a CMS-approved clinical trial sponsored by the National Heart, Lung & Blood Institute.

Medicare currently provides coverage for home oxygen for beneficiaries with partial pressure measurements at or below 55 mmHg or oxygen saturation at or below 88%.

If certain other diseases/conditions are present, coverage is provided for patients with an oxygen partial pressure of 56-60 mmHg or an oxygen saturation of 89%.

The trial will include Medicare beneficiaries with arterial oxygen partial measurements from 56 mmHg to 65 mmHg or whose oxygen saturation is at or above 89% who do not meet the current Medicare coverage requirements for home oxygen.