E0484 HCPCS code: Oscillatory positive expiratory pressure device, non-electric, any type, each
E0484 is the HCPCS Level II code for oscillatory positive expiratory pressure device, non-electric, any type, each. The 2026 Medicare DMEPOS fee schedule pays $52.64 to $63.10 (NU, new equipment, purchased) 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 35% from 2022 to 2024 (6,061 to 8,193 services). In 2024, 1,077 suppliers billed Medicare for E0484 (purchases), serving 7,904 beneficiaries; Florida, New York, Pennsylvania accounted for 20% of services.
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 32 — DMEPOS: inexpensive or routinely purchased item |
| BETOS category | D1E — Other durable medical equipment |
| Added | 2003-01-01 |
| Last action effective | 2003-01-01 |
2026 Medicare DMEPOS fee schedule for E0484
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $52.64 | $63.10 | $52.64 | $44.74 |
| RR | rental (monthly) | $5.26 | $6.30 | $5.26 | $4.47 |
| UE | used equipment, purchased | $39.48 | $47.37 | $39.48 | $33.56 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $52.64 | — |
| AL | NU | $52.64 | — |
| AR | NU | $52.64 | — |
| AZ | NU | $52.64 | — |
| CA | NU | $52.64 | — |
| CO | NU | $52.64 | — |
| CT | NU | $52.64 | — |
| DC | NU | $52.64 | — |
| DE | NU | $52.64 | — |
| FL | NU | $52.64 | — |
| GA | NU | $52.64 | — |
| HI | NU | $52.64 | — |
| IA | NU | $52.64 | — |
| ID | NU | $52.64 | — |
| IL | NU | $52.64 | — |
| IN | NU | $52.64 | — |
| KS | NU | $52.64 | — |
| KY | NU | $52.64 | — |
| LA | NU | $52.64 | — |
| MA | NU | $52.64 | — |
| MD | NU | $52.64 | — |
| ME | NU | $52.64 | — |
| MI | NU | $52.64 | — |
| MN | NU | $52.64 | — |
| MO | NU | $52.64 | — |
| MS | NU | $52.64 | — |
| MT | NU | $52.64 | — |
| NC | NU | $52.64 | — |
| ND | NU | $52.64 | — |
| NE | NU | $52.64 | — |
| NH | NU | $52.64 | — |
| NJ | NU | $52.64 | — |
| NM | NU | $52.64 | — |
| NV | NU | $52.64 | — |
| NY | NU | $52.64 | — |
| OH | NU | $52.64 | — |
| OK | NU | $52.64 | — |
| OR | NU | $52.64 | — |
| PA | NU | $52.64 | — |
| PR | NU | $63.10 | — |
| RI | NU | $52.64 | — |
| SC | NU | $52.64 | — |
| SD | NU | $52.64 | — |
| TN | NU | $52.64 | — |
| TX | NU | $52.64 | — |
| UT | NU | $52.64 | — |
| VA | NU | $52.64 | — |
| VI | NU | $52.64 | — |
| VT | NU | $52.64 | — |
| WA | NU | $52.64 | — |
| WI | NU | $52.64 | — |
| WV | NU | $52.64 | — |
| WY | NU | $52.64 | — |
| AK | RR | $5.26 | — |
| AL | RR | $5.26 | — |
| AR | RR | $5.26 | — |
| AZ | RR | $5.26 | — |
| CA | RR | $5.26 | — |
| CO | RR | $5.26 | — |
| CT | RR | $5.26 | — |
| DC | RR | $5.26 | — |
| DE | RR | $5.26 | — |
| FL | RR | $5.26 | — |
| GA | RR | $5.26 | — |
| HI | RR | $5.26 | — |
| IA | RR | $5.26 | — |
| ID | RR | $5.26 | — |
| IL | RR | $5.26 | — |
| IN | RR | $5.26 | — |
| KS | RR | $5.26 | — |
| KY | RR | $5.26 | — |
| LA | RR | $5.26 | — |
| MA | RR | $5.26 | — |
| MD | RR | $5.26 | — |
| ME | RR | $5.26 | — |
| MI | RR | $5.26 | — |
| MN | RR | $5.26 | — |
| MO | RR | $5.26 | — |
| MS | RR | $5.26 | — |
| MT | RR | $5.26 | — |
| NC | RR | $5.26 | — |
| ND | RR | $5.26 | — |
| NE | RR | $5.26 | — |
| NH | RR | $5.26 | — |
| NJ | RR | $5.26 | — |
| NM | RR | $5.26 | — |
| NV | RR | $5.26 | — |
| NY | RR | $5.26 | — |
| OH | RR | $5.26 | — |
| OK | RR | $5.26 | — |
| OR | RR | $5.26 | — |
| PA | RR | $5.26 | — |
| PR | RR | $6.30 | — |
| RI | RR | $5.26 | — |
| SC | RR | $5.26 | — |
| SD | RR | $5.26 | — |
| TN | RR | $5.26 | — |
| TX | RR | $5.26 | — |
| UT | RR | $5.26 | — |
| VA | RR | $5.26 | — |
| VI | RR | $5.26 | — |
| VT | RR | $5.26 | — |
| WA | RR | $5.26 | — |
| WI | RR | $5.26 | — |
| WV | RR | $5.26 | — |
| WY | RR | $5.26 | — |
| AK | UE | $39.48 | — |
| AL | UE | $39.48 | — |
| AR | UE | $39.48 | — |
| AZ | UE | $39.48 | — |
| CA | UE | $39.48 | — |
| CO | UE | $39.48 | — |
| CT | UE | $39.48 | — |
| DC | UE | $39.48 | — |
| DE | UE | $39.48 | — |
| FL | UE | $39.48 | — |
| GA | UE | $39.48 | — |
| HI | UE | $39.48 | — |
| IA | UE | $39.48 | — |
| ID | UE | $39.48 | — |
| IL | UE | $39.48 | — |
| IN | UE | $39.48 | — |
| KS | UE | $39.48 | — |
| KY | UE | $39.48 | — |
| LA | UE | $39.48 | — |
| MA | UE | $39.48 | — |
| MD | UE | $39.48 | — |
| ME | UE | $39.48 | — |
| MI | UE | $39.48 | — |
| MN | UE | $39.48 | — |
| MO | UE | $39.48 | — |
| MS | UE | $39.48 | — |
| MT | UE | $39.48 | — |
| NC | UE | $39.48 | — |
| ND | UE | $39.48 | — |
| NE | UE | $39.48 | — |
| NH | UE | $39.48 | — |
| NJ | UE | $39.48 | — |
| NM | UE | $39.48 | — |
| NV | UE | $39.48 | — |
| NY | UE | $39.48 | — |
| OH | UE | $39.48 | — |
| OK | UE | $39.48 | — |
| OR | UE | $39.48 | — |
| PA | UE | $39.48 | — |
| PR | UE | $47.37 | — |
| RI | UE | $39.48 | — |
| SC | UE | $39.48 | — |
| SD | UE | $39.48 | — |
| TN | UE | $39.48 | — |
| TX | UE | $39.48 | — |
| UT | UE | $39.48 | — |
| VA | UE | $39.48 | — |
| VI | UE | $39.48 | — |
| VT | UE | $39.48 | — |
| WA | UE | $39.48 | — |
| WI | UE | $39.48 | — |
| WV | UE | $39.48 | — |
| WY | UE | $39.48 | — |
How the E0484 fee compares
| Measure | Value |
|---|---|
| Rank among 1 E04 codes billed NU (lowest = 1) | 1 |
| Family fee range (average of state fees) | $52.84–$52.84 |
| Rural fee uplift | — |
Who bills E0484 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 18 |
| Suppliers billing purchases | 1,077 |
| Referring clinicians | 3,829 |
| Medicare beneficiaries | 7,904 |
| States with claims | 48 |
| Share of services in top 3 states (Florida, New York, Pennsylvania) | 20% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 1,000 | 5,828 |
| 2023 | 1,031 | 7,206 |
| 2024 | 1,077 | 7,904 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0484, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 6,061 | 5,828 | $43.66 | $32.94 |
| 2023 | 7,540 | 7,206 | $47.04 | $35.32 |
| 2024 | 8,193 | 7,904 | $48.86 | $36.65 |
States with the most E0484 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 674 | $31.31 |
| New York | 485 | $37.78 |
| Pennsylvania | 429 | $36.46 |
| North Carolina | 403 | $36.41 |
| California | 389 | $38.36 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
What changed for E0484
- 2026-01-01: Average state fee (NU) rose 2.0%: $51.80 to $52.84
- 2026-01-01: Average state fee (RR) rose 1.9%: $5.18 to $5.28
- 2026-01-01: Average state fee (UE) rose 2.0%: $38.86 to $39.63
- 2003-01-01: E0484 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 E0484?
E0484 is the HCPCS Level II code for oscillatory positive expiratory pressure device, non-electric, any type, each. Short descriptor: "Non-elec oscillatory pep dvc".
How much does Medicare pay for E0484?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $52.64–$63.10; RR (rental (monthly)): $5.26–$6.30; UE (used equipment, purchased): $39.48–$47.37. Rural fees can be higher.
Does Medicare cover E0484?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E0484 change in 2026?
The average non-rural state fee for NU moved from $51.80 in 2025 to $52.84 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0484 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 E0484
- Watch E0484 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0484
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.