E0500 HCPCS code: Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source
E0500 is the HCPCS Level II code for ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source. The 2026 Medicare DMEPOS fee schedule pays $132.97 to $168.94 (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 fell 35% from 2022 to 2024 (703 to 459 services). In 2024, 9 suppliers billed Medicare for E0500 (rentals), serving 52 beneficiaries; Texas, Florida, New York accounted for 92% of services. Its average fee ranks 13 of 13 E05 codes billed RR (family range $7.81–$150.24).
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 | 1986-01-01 |
2026 Medicare DMEPOS fee schedule for E0500
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $132.97 | $168.94 | $156.43 | $132.97 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $158.00 | — |
| AL | RR | $156.43 | — |
| AR | RR | $156.43 | — |
| AZ | RR | $150.97 | — |
| CA | RR | $156.43 | — |
| CO | RR | $132.97 | — |
| CT | RR | $152.52 | — |
| DC | RR | $142.83 | — |
| DE | RR | $147.28 | — |
| FL | RR | $156.43 | — |
| GA | RR | $132.97 | — |
| HI | RR | $168.94 | — |
| IA | RR | $138.33 | — |
| ID | RR | $143.67 | — |
| IL | RR | $156.43 | — |
| IN | RR | $149.03 | — |
| KS | RR | $156.43 | — |
| KY | RR | $151.52 | — |
| LA | RR | $132.97 | — |
| MA | RR | $156.43 | — |
| MD | RR | $150.29 | — |
| ME | RR | $156.43 | — |
| MI | RR | $156.43 | — |
| MN | RR | $135.30 | — |
| MO | RR | $156.43 | — |
| MS | RR | $132.97 | — |
| MT | RR | $140.81 | — |
| NC | RR | $145.88 | — |
| ND | RR | $153.27 | — |
| NE | RR | $156.43 | — |
| NH | RR | $156.43 | — |
| NJ | RR | $156.43 | — |
| NM | RR | $156.43 | — |
| NV | RR | $154.16 | — |
| NY | RR | $156.43 | — |
| OH | RR | $156.43 | — |
| OK | RR | $156.43 | — |
| OR | RR | $145.62 | — |
| PA | RR | $148.32 | — |
| PR | RR | $137.06 | — |
| RI | RR | $156.43 | — |
| SC | RR | $156.43 | — |
| SD | RR | $156.43 | — |
| TN | RR | $133.01 | — |
| TX | RR | $156.43 | — |
| UT | RR | $141.34 | — |
| VA | RR | $156.43 | — |
| VI | RR | $156.43 | — |
| VT | RR | $156.43 | — |
| WA | RR | $132.97 | — |
| WI | RR | $156.43 | — |
| WV | RR | $156.43 | — |
| WY | RR | $142.48 | — |
How the E0500 fee compares
| Measure | Value |
|---|---|
| Rank among 13 E05 codes billed RR (lowest = 1) | 13 |
| Family fee range (average of state fees) | $7.81–$150.24 |
| Rural fee uplift | — |
Who bills E0500 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 9 |
| Suppliers billing purchases | — |
| Referring clinicians | 20 |
| Medicare beneficiaries | 52 |
| States with claims | 6 |
| Share of services in top 3 states (Texas, Florida, New York) | 92% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 15 | 85 |
| 2023 | 11 | 63 |
| 2024 | 9 | 52 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0500, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 703 | 85 | $132.14 | $95.09 |
| 2023 | 601 | 63 | $144.85 | $104.99 |
| 2024 | 459 | 52 | $148.59 | $108.40 |
States with the most E0500 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Texas | 324 | $107.69 |
| Florida | 69 | $109.64 |
| New York | 25 | $110.14 |
| Tennessee | 12 | $107.64 |
| Massachusetts | 12 | $107.64 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
What changed for E0500
- 2026-01-01: Average state fee (RR) rose 2.0%: $147.29 to $150.24
- 1986-01-01: E0500 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 E0500?
E0500 is the HCPCS Level II code for ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source. Short descriptor: "Ippb all types".
How much does Medicare pay for E0500?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $132.97–$168.94. Rural fees can be higher.
Does Medicare cover E0500?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for E0500 change in 2026?
The average non-rural state fee for RR moved from $147.29 in 2025 to $150.24 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0500 can be billed per day?
1 on DME suppliers (NCCI medically unlikely edits).
Related E05 codes
- E0530 — Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type ($37.12–$37.12)
- E0550 — Humidifier, durable for extensive supplemental humidification during ippb treatments or oxygen delivery ($60.73–$118.04)
- E0555 — Humidifier, durable, glass or autoclavable plastic bottle type, for use with regulator or flowmeter
- E0560 — Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery ($20.98–$225.28)
- E0561 — Humidifier, non-heated, used with positive airway pressure device ($8.46–$128.48)
- E0562 — Humidifier, heated, used with positive airway pressure device ($16.82–$316.53)
- E0565 — Compressor, air power source for equipment which is not self-contained or cylinder driven ($42.74–$82.96)
- E0570 — Nebulizer, with compressor ($6.09–$15.43)
- E0572 — Aerosol compressor, adjustable pressure, light duty for intermittent use ($29.16–$51.74)
- E0574 — Ultrasonic/electronic aerosol generator with small volume nebulizer ($48.76–$67.63)
- E0575 — Nebulizer, ultrasonic, large volume ($124.51–$159.48)
- E0580 — Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter ($16.47–$182.27)
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 E0500
- Watch E0500 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0500
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.