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Practical tips on prescribing home oxygen therapy.

T L Petty1

  • 1Webb-Waring Lung Institute, University of Colorado Health Sciences Center, Denver 80262.

Postgraduate Medicine
|November 1, 1988
PubMed
Summary

Oxygen therapy is crucial for chronic respiratory insufficiency. Patients need a prescription and must meet specific hypoxemia criteria for insurance reimbursement, with portable systems preferred for mobility.

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Area of Science:

  • Pulmonary Medicine
  • Respiratory Care

Background:

  • Chronic respiratory insufficiency significantly impacts patient quality of life.
  • Oxygen therapy is a vital treatment for managing hypoxemia in these patients.

Purpose of the Study:

  • To outline the criteria and guidelines for prescribing oxygen therapy for reimbursement.
  • To emphasize the importance of appropriate oxygen delivery systems.

Main Methods:

  • Review of guidelines for oxygen therapy prescription.
  • Identification of patient selection criteria based on hypoxemia.
  • Assessment of blood gas parameters (PO2, oxygen saturation) for eligibility.

Main Results:

  • Physician prescription is mandatory for insurance reimbursement (Medicare, Medicaid).
  • Key criteria include significant hypoxemia (PO2 ≤ 55 mm Hg or O2 sat ≤ 88%, or PO2 ≤ 59 mm Hg with organ response).
  • Portable oxygen systems are recommended to enhance daily living activities.

Conclusions:

  • Adherence to specific hypoxemia criteria and physician prescription is essential for oxygen therapy reimbursement.
  • Portable oxygen systems facilitate greater patient mobility and participation in daily activities.
  • Stationary systems remain a viable option for housebound individuals.

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