E0466 HCPCS code: Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)
E0466 is the HCPCS Level II code for home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell). The 2026 Medicare DMEPOS fee schedule pays $1,113.72 to $2,261.71 (RR, rental (monthly)) depending on the state. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 2 per day on DME suppliers. Medicare volume fell 9% from 2022 to 2024 (521,115 to 473,049 services). In 2024, 2,620 suppliers billed Medicare for E0466 (rentals), serving 58,889 beneficiaries; California, Texas, Florida accounted for 25% of services. Its average fee ranks 14 of 19 E04 codes billed RR (family range $5.28–$1,572.12).
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 31 — DMEPOS: frequently serviced item |
| BETOS category | D1E — Other durable medical equipment |
| Added | 2016-01-01 |
| Last action effective | 2016-01-01 |
2026 Medicare DMEPOS fee schedule for E0466
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $1,113.72 | $2,261.71 | $1,360.33 | $1,156.28 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $1,113.72 | — |
| AL | RR | $1,156.28 | — |
| AR | RR | $1,327.91 | — |
| AZ | RR | $1,360.33 | — |
| CA | RR | $1,156.28 | — |
| CO | RR | $1,156.28 | — |
| CT | RR | $1,360.33 | — |
| DC | RR | $1,224.88 | — |
| DE | RR | $1,360.33 | — |
| FL | RR | $1,360.33 | — |
| GA | RR | $1,360.33 | — |
| HI | RR | $1,190.93 | — |
| IA | RR | $1,291.69 | — |
| ID | RR | $1,166.61 | — |
| IL | RR | $1,360.33 | — |
| IN | RR | $1,156.28 | — |
| KS | RR | $1,309.75 | — |
| KY | RR | $1,360.33 | — |
| LA | RR | $1,192.96 | — |
| MA | RR | $1,360.33 | — |
| MD | RR | $1,156.28 | — |
| ME | RR | $1,265.07 | — |
| MI | RR | $1,360.33 | — |
| MN | RR | $1,360.33 | — |
| MO | RR | $1,268.08 | — |
| MS | RR | $1,156.28 | — |
| MT | RR | $1,188.26 | — |
| NC | RR | $1,360.33 | — |
| ND | RR | $1,360.33 | — |
| NE | RR | $1,314.68 | — |
| NH | RR | $1,360.33 | — |
| NJ | RR | $1,360.33 | — |
| NM | RR | $1,311.33 | — |
| NV | RR | $1,360.33 | — |
| NY | RR | $1,360.33 | — |
| OH | RR | $1,360.33 | — |
| OK | RR | $1,360.33 | — |
| OR | RR | $1,333.16 | — |
| PA | RR | $1,360.33 | — |
| PR | RR | $2,261.71 | — |
| RI | RR | $1,360.33 | — |
| SC | RR | $1,156.28 | — |
| SD | RR | $1,360.33 | — |
| TN | RR | $1,360.33 | — |
| TX | RR | $1,360.33 | — |
| UT | RR | $1,249.23 | — |
| VA | RR | $1,358.87 | — |
| VI | RR | $1,360.33 | — |
| VT | RR | $1,193.68 | — |
| WA | RR | $1,156.28 | — |
| WI | RR | $1,164.25 | — |
| WV | RR | $1,360.33 | — |
| WY | RR | $1,360.33 | — |
How the E0466 fee compares
| Measure | Value |
|---|---|
| Rank among 19 E04 codes billed RR (lowest = 1) | 14 |
| Family fee range (average of state fees) | $5.28–$1,572.12 |
| Rural fee uplift | — |
Who bills E0466 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 2,620 |
| Suppliers billing purchases | — |
| Referring clinicians | 28,040 |
| Medicare beneficiaries | 58,889 |
| States with claims | 54 |
| Share of services in top 3 states (California, Texas, Florida) | 25% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 2,641 | 67,032 |
| 2023 | 2,652 | 64,381 |
| 2024 | 2,620 | 58,889 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0466, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 521,115 | 67,032 | $1,108.11 | $861.06 |
| 2023 | 513,057 | 64,381 | $1,203.55 | $929.15 |
| 2024 | 473,049 | 58,889 | $1,235.33 | $953.22 |
States with the most E0466 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 55,898 | $862.24 |
| Texas | 37,881 | $999.24 |
| Florida | 24,643 | $999.81 |
| New York | 21,274 | $1,001.91 |
| Illinois | 17,903 | $996.90 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Nature of Equipment |
What changed for E0466
- 2026-01-01: Average state fee (RR) rose 2.0%: $1,282.75 to $1,308.41
- 2016-01-01: E0466 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code E0466?
E0466 is the HCPCS Level II code for home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell). Short descriptor: "Home vent non-invasive inter".
How much does Medicare pay for E0466?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $1,113.72–$2,261.71. Rural fees can be higher.
Does Medicare cover E0466?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for E0466 change in 2026?
The average non-rural state fee for RR moved from $1,282.75 in 2025 to $1,308.41 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0466 can be billed per day?
2 on DME suppliers (NCCI medically unlikely edits).
Related E04 codes
- E0424 — Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing ($94.56–$177.16)
- E0425 — Stationary compressed gas system, purchase; includes regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing
- E0430 — Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing
- E0431 — Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing ($21.24–$88.58)
- E0433 — Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with or without supply reservoir and contents gauge ($46.28–$88.58)
- E0434 — Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing ($46.28–$88.58)
- E0435 — Portable liquid oxygen system, purchase; includes portable container, supply reservoir, flowmeter, humidifier, contents gauge, cannula or mask, tubing and refill adaptor
- E0439 — Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing ($94.56–$177.16)
- E0440 — Stationary liquid oxygen system, purchase; includes use of reservoir, contents indicator, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing
- E0441 — Stationary oxygen contents, gaseous, 1 month's supply = 1 unit ($61.92–$75.90)
- E0442 — Stationary oxygen contents, liquid, 1 month's supply = 1 unit ($61.92–$75.90)
- E0443 — Portable oxygen contents, gaseous, 1 month's supply = 1 unit ($56.56–$72.51)
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Next steps
- Run a reimbursement report for a device billed under E0466
- Watch E0466 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0466
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule 2026; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.