E0467 HCPCS code: Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all accessories, components and supplies for all functions
E0467 is the HCPCS Level II code for home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all accessories, components and supplies for all functions. The 2026 Medicare DMEPOS fee schedule pays $1,363.67 to $2,497.29 (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. Its average fee ranks 18 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 | 2019-01-01 |
| Last action effective | 2019-01-01 |
2026 Medicare DMEPOS fee schedule for E0467
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $1,363.67 | $2,497.29 | — | — |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $1,431.35 | — |
| AL | RR | $1,367.92 | $1,394.21 |
| AR | RR | $1,559.77 | $1,588.29 |
| AZ | RR | $1,568.61 | $1,595.65 |
| CA | RR | $1,381.78 | $1,412.45 |
| CO | RR | $1,369.93 | $1,395.26 |
| CT | RR | $1,593.08 | $1,620.27 |
| DC | RR | $1,446.82 | $1,476.57 |
| DE | RR | $1,581.06 | $1,610.82 |
| FL | RR | $1,578.68 | $1,606.71 |
| GA | RR | $1,581.98 | $1,610.51 |
| HI | RR | $1,507.36 | — |
| IA | RR | $1,503.95 | $1,529.83 |
| ID | RR | $1,379.44 | $1,404.77 |
| IL | RR | $1,590.88 | $1,620.72 |
| IN | RR | $1,368.33 | $1,395.26 |
| KS | RR | $1,522.85 | $1,548.73 |
| KY | RR | $1,573.04 | $1,599.32 |
| LA | RR | $1,404.78 | $1,431.06 |
| MA | RR | $1,589.38 | $1,615.10 |
| MD | RR | $1,375.32 | $1,405.08 |
| ME | RR | $1,490.08 | $1,515.81 |
| MI | RR | $1,588.64 | $1,618.49 |
| MN | RR | $1,572.57 | $1,599.32 |
| MO | RR | $1,482.86 | $1,508.75 |
| MS | RR | $1,363.67 | $1,389.96 |
| MT | RR | $1,408.32 | $1,434.94 |
| NC | RR | $1,573.04 | $1,599.32 |
| ND | RR | $1,568.35 | $1,594.23 |
| NE | RR | $1,527.77 | $1,553.66 |
| NH | RR | $1,582.29 | $1,608.01 |
| NJ | RR | $1,587.82 | $1,617.57 |
| NM | RR | $1,517.35 | $1,544.40 |
| NV | RR | $1,568.99 | $1,596.79 |
| NY | RR | $1,578.55 | $1,605.44 |
| OH | RR | $1,588.28 | $1,618.12 |
| OK | RR | $1,581.99 | $1,612.03 |
| OR | RR | $1,544.35 | $1,572.15 |
| PA | RR | $1,583.25 | $1,613.00 |
| PR | RR | $2,497.29 | — |
| RI | RR | $1,576.95 | $1,604.38 |
| SC | RR | $1,367.09 | $1,393.38 |
| SD | RR | $1,572.45 | $1,598.34 |
| TN | RR | $1,569.85 | $1,596.12 |
| TX | RR | $1,572.28 | $1,599.32 |
| UT | RR | $1,462.90 | $1,488.23 |
| VA | RR | $1,579.19 | $1,607.72 |
| VI | RR | $1,606.99 | — |
| VT | RR | $1,415.62 | $1,441.34 |
| WA | RR | $1,369.79 | $1,397.59 |
| WI | RR | $1,394.79 | $1,424.63 |
| WV | RR | $1,590.06 | $1,618.58 |
| WY | RR | $1,572.84 | $1,598.18 |
How the E0467 fee compares
| Measure | Value |
|---|---|
| Rank among 19 E04 codes billed RR (lowest = 1) | 18 |
| Family fee range (average of state fees) | $5.28–$1,572.12 |
| Rural fee uplift | 0.6% |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Nature of Equipment |
What changed for E0467
- 2026-01-01: Average state fee (RR) rose 2.0%: $1,500.79 to $1,530.80
- 2019-01-01: E0467 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 E0467?
E0467 is the HCPCS Level II code for home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all accessories, components and supplies for all functions. Short descriptor: "Home vent multi-function".
How much does Medicare pay for E0467?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $1,363.67–$2,497.29. Rural fees can be higher.
Does Medicare cover E0467?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for E0467 change in 2026?
The average non-rural state fee for RR moved from $1,500.79 in 2025 to $1,530.80 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0467 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 E0467
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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.