E0480 HCPCS code: Percussor, electric or pneumatic, home model
E0480 is the HCPCS Level II code for percussor, electric or pneumatic, home model. The 2026 Medicare DMEPOS fee schedule pays $53.24 to $66.44 (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 1 per day on DME suppliers. Medicare volume rose 32% from 2022 to 2024 (79 to 104 services). In 2024, 13 suppliers billed Medicare for E0480 (rentals), serving 16 beneficiaries; Washington, Kentucky, Ohio accounted for 51% of services. Its average fee ranks 5 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 | 36 — DMEPOS: capped rental item |
| BETOS category | D1E — Other durable medical equipment |
| Added | 1986-01-01 |
| Last action effective | 1996-01-01 |
2026 Medicare DMEPOS fee schedule for E0480
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $53.24 | $66.44 | $62.64 | $53.24 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $62.15 | — |
| AL | RR | $62.64 | — |
| AR | RR | $53.69 | — |
| AZ | RR | $62.64 | — |
| CA | RR | $61.55 | — |
| CO | RR | $57.02 | — |
| CT | RR | $62.64 | — |
| DC | RR | $62.64 | — |
| DE | RR | $62.64 | — |
| FL | RR | $53.24 | — |
| GA | RR | $61.56 | — |
| HI | RR | $66.44 | — |
| IA | RR | $62.64 | — |
| ID | RR | $62.64 | — |
| IL | RR | $62.64 | — |
| IN | RR | $56.92 | — |
| KS | RR | $61.60 | — |
| KY | RR | $62.64 | — |
| LA | RR | $53.24 | — |
| MA | RR | $62.64 | — |
| MD | RR | $62.64 | — |
| ME | RR | $62.64 | — |
| MI | RR | $53.24 | — |
| MN | RR | $53.24 | — |
| MO | RR | $54.25 | — |
| MS | RR | $53.24 | — |
| MT | RR | $59.67 | — |
| NC | RR | $55.98 | — |
| ND | RR | $62.64 | — |
| NE | RR | $57.47 | — |
| NH | RR | $62.64 | — |
| NJ | RR | $62.64 | — |
| NM | RR | $62.64 | — |
| NV | RR | $62.64 | — |
| NY | RR | $53.24 | — |
| OH | RR | $62.64 | — |
| OK | RR | $62.64 | — |
| OR | RR | $59.74 | — |
| PA | RR | $62.64 | — |
| PR | RR | $62.76 | — |
| RI | RR | $53.24 | — |
| SC | RR | $53.24 | — |
| SD | RR | $62.64 | — |
| TN | RR | $53.24 | — |
| TX | RR | $62.64 | — |
| UT | RR | $53.24 | — |
| VA | RR | $56.91 | — |
| VI | RR | $53.24 | — |
| VT | RR | $62.64 | — |
| WA | RR | $62.64 | — |
| WI | RR | $53.24 | — |
| WV | RR | $57.43 | — |
| WY | RR | $62.64 | — |
How the E0480 fee compares
| Measure | Value |
|---|---|
| Rank among 19 E04 codes billed RR (lowest = 1) | 5 |
| Family fee range (average of state fees) | $5.28–$1,572.12 |
| Rural fee uplift | — |
Who bills E0480 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 13 |
| Suppliers billing purchases | — |
| Referring clinicians | 15 |
| Medicare beneficiaries | 16 |
| States with claims | 7 |
| Share of services in top 3 states (Washington, Kentucky, Ohio) | 51% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 13 | 14 |
| 2023 | 15 | 16 |
| 2024 | 13 | 16 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0480, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 79 | 14 | $40.21 | $29.68 |
| 2023 | 78 | 16 | $43.97 | $30.93 |
| 2024 | 104 | 16 | $47.03 | $35.18 |
States with the most E0480 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Washington | 19 | $31.55 |
| Ohio | 15 | $35.10 |
| Kentucky | 15 | $39.96 |
| Nebraska | 14 | $32.36 |
| Idaho | 12 | $36.24 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
What changed for E0480
- 2026-01-01: Average state fee (RR) rose 2.0%: $58.27 to $59.43
- 1986-01-01: E0480 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 E0480?
E0480 is the HCPCS Level II code for percussor, electric or pneumatic, home model. Short descriptor: "Percussor elect/pneum home m".
How much does Medicare pay for E0480?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $53.24–$66.44. Rural fees can be higher.
Does Medicare cover E0480?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for E0480 change in 2026?
The average non-rural state fee for RR moved from $58.27 in 2025 to $59.43 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0480 can be billed per day?
1 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 E0480
- Watch E0480 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0480
Sources: CMS HCPCS Level II release October 2026; 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.