This post is only relevant to practicing physicians/ residents.
If you are prescribing home oxygen to a patient in the clinic or in the hospital, make sure you document all of this in your prescription:
• Detailed description of Modalities and delivery devices item(s): Nasal cannula / Non-re-breather
• O2 Flow Rate and FiO2
• Estimated frequency and duration of use (e.g., 2L/minute, 10 minutes/Hour, 12 Hours/Day) and
• Duration of need (e.g., 6 Months, 12 Months, 99 Months/Lifetime).
Make sure you put the appropriate diagnoses: COPD / Bronchiectasis / Hypoxemia / Diffuse interstitial lung disease / Cystic fibrosis / Pulmonary neoplasm / Erythrocytosis / Pulmonary hypertension / Recurring CHF d/t Cor Pulmonale
Length of need: (months) (99 = lifetime)
Peak Flow rate: / (LPM/oxygen %)
Avg. Flow rate: / (LPM/oxygen %)
Frequency of use: At rest and awake / During exertion / During sleep
Target O2 Sat: % or range % to %
Frequency of O2 Sat monitoring: Q hrs. At rest and awake / During exertion / During sleep
Prescribe a pulse oximeter to your patient if they are able to use it.
-IkaN
Source: CMS website
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