E0482 HCPCS code: Cough stimulating device, alternating positive and negative airway pressure
E0482 is the HCPCS Level II code for cough stimulating device, alternating positive and negative airway pressure. The 2026 Medicare DMEPOS fee schedule pays $520.93 to $718.71 (RR, rental (monthly)) depending on the state. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 1 per day on DME suppliers. Medicare volume rose 5% from 2022 to 2024 (17,736 to 18,664 services). In 2024, 790 suppliers billed Medicare for E0482 (rentals), serving 3,816 beneficiaries; California, Florida, New York accounted for 28% of services. Its average fee ranks 13 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 | C — Carrier judgment |
| Pricing indicator | 36 — DMEPOS: capped rental item |
| BETOS category | D1E — Other durable medical equipment |
| Added | 2002-01-01 |
| Last action effective | 2002-01-01 |
2026 Medicare DMEPOS fee schedule for E0482
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $520.93 | $718.71 | $612.86 | $520.93 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $696.55 | — |
| AL | RR | $600.10 | — |
| AR | RR | $612.86 | — |
| AZ | RR | $568.81 | — |
| CA | RR | $583.81 | — |
| CO | RR | $612.86 | — |
| CT | RR | $612.86 | — |
| DC | RR | $612.86 | — |
| DE | RR | $598.21 | — |
| FL | RR | $560.98 | — |
| GA | RR | $594.45 | — |
| HI | RR | $576.71 | — |
| IA | RR | $612.86 | — |
| ID | RR | $612.86 | — |
| IL | RR | $612.86 | — |
| IN | RR | $612.86 | — |
| KS | RR | $612.86 | — |
| KY | RR | $612.86 | — |
| LA | RR | $602.00 | — |
| MA | RR | $612.86 | — |
| MD | RR | $578.05 | — |
| ME | RR | $612.86 | — |
| MI | RR | $586.07 | — |
| MN | RR | $612.86 | — |
| MO | RR | $612.86 | — |
| MS | RR | $549.18 | — |
| MT | RR | $552.61 | — |
| NC | RR | $612.86 | — |
| ND | RR | $551.79 | — |
| NE | RR | $612.86 | — |
| NH | RR | $612.86 | — |
| NJ | RR | $575.10 | — |
| NM | RR | $541.75 | — |
| NV | RR | $582.56 | — |
| NY | RR | $594.24 | — |
| OH | RR | $612.86 | — |
| OK | RR | $612.86 | — |
| OR | RR | $612.86 | — |
| PA | RR | $587.32 | — |
| PR | RR | $718.71 | — |
| RI | RR | $520.93 | — |
| SC | RR | $590.15 | — |
| SD | RR | $601.02 | — |
| TN | RR | $574.53 | — |
| TX | RR | $612.86 | — |
| UT | RR | $612.86 | — |
| VA | RR | $578.61 | — |
| VI | RR | $612.86 | — |
| VT | RR | $612.86 | — |
| WA | RR | $612.86 | — |
| WI | RR | $612.86 | — |
| WV | RR | $592.16 | — |
| WY | RR | $599.14 | — |
How the E0482 fee compares
| Measure | Value |
|---|---|
| Rank among 19 E04 codes billed RR (lowest = 1) | 13 |
| Family fee range (average of state fees) | $5.28–$1,572.12 |
| Rural fee uplift | — |
Who bills E0482 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 790 |
| Suppliers billing purchases | — |
| Referring clinicians | 1,403 |
| Medicare beneficiaries | 3,816 |
| States with claims | 50 |
| Share of services in top 3 states (California, Florida, New York) | 28% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 749 | 3,620 |
| 2023 | 741 | 3,653 |
| 2024 | 790 | 3,816 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0482, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 17,736 | 3,620 | $423.32 | $323.77 |
| 2023 | 18,512 | 3,653 | $459.56 | $349.96 |
| 2024 | 18,664 | 3,816 | $473.78 | $360.99 |
States with the most E0482 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 2,002 | $357.90 |
| Florida | 1,765 | $342.69 |
| New York | 1,497 | $355.06 |
| Texas | 1,270 | $358.69 |
| North Carolina | 854 | $372.25 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
What changed for E0482
- 2026-01-01: Average state fee (RR) rose 2.0%: $588.05 to $599.81
- 2002-01-01: E0482 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 E0482?
E0482 is the HCPCS Level II code for cough stimulating device, alternating positive and negative airway pressure. Short descriptor: "Cough stimulating device".
How much does Medicare pay for E0482?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $520.93–$718.71. Rural fees can be higher.
Does Medicare cover E0482?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E0482 change in 2026?
The average non-rural state fee for RR moved from $588.05 in 2025 to $599.81 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0482 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)
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under E0482
- Watch E0482 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0482
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.