Ordering Oxygen Make an Appointment Ask a Question Search Conditions This information was approved by Jeff Swigris, DO, and Ann Mullen, RN, (September 2017) Summary: Ordering Oxygen What is Required from Providers? Complete the following events within 30 days. Face-to-Face Evaluation Progress Note Indicating: Diagnosis Symptoms Mobility within and outside the home Benefit of oxygen for quality of life Flow rates and delivery type (pulse vs continuous) Other methods have been tried and failed Patient informed of need for oxygen Qualifying Testing Must have 1 of the following: Resting sat on room air ≤ 88% (while awake) OR Oxygen titration walk test (must have all 3 below) Resting sat/ABG normal Saturation ≤ 88% with exertion (or PO2 ≤ 55) Exertion saturation/ABG improve with addition of O2 Dispensing Order Order Indicating the Following: Diagnosis Duration Flow Rates Stationary Flow System Standard Concentrator Portable Flow System Compressed Gas Liquid Oxygen Portable Oxygen Concentrator Length of Need Indication if oxygen will be used with PAP Certificate of Medical Necessity Additional Resources on Oxygen Benefits of Oxygen Therapy Oxygen Needs with IPF Concerns about Wearing Oxygen Altitude Sickness and Oxygen Therapy Want to use this on your website? Fill out the content usage request form and then copy this code: