E0530 HCPCS code: Electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type
E0530 is the HCPCS Level II code for electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type. The 2026 Medicare DMEPOS fee schedule pays $37.12 (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. In 2024, 1 suppliers billed Medicare for E0530 (rentals), serving 0 beneficiaries. Its average fee ranks 8 of 13 E05 codes billed RR (family range $7.81–$150.24).
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 | 2024-01-01 |
| Last action effective | 2024-01-01 |
2026 Medicare DMEPOS fee schedule for E0530
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $37.12 | $37.12 | $37.12 | $31.55 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $37.12 | — |
| AL | RR | $37.12 | — |
| AR | RR | $37.12 | — |
| AZ | RR | $37.12 | — |
| CA | RR | $37.12 | — |
| CO | RR | $37.12 | — |
| CT | RR | $37.12 | — |
| DC | RR | $37.12 | — |
| DE | RR | $37.12 | — |
| FL | RR | $37.12 | — |
| GA | RR | $37.12 | — |
| HI | RR | $37.12 | — |
| IA | RR | $37.12 | — |
| ID | RR | $37.12 | — |
| IL | RR | $37.12 | — |
| IN | RR | $37.12 | — |
| KS | RR | $37.12 | — |
| KY | RR | $37.12 | — |
| LA | RR | $37.12 | — |
| MA | RR | $37.12 | — |
| MD | RR | $37.12 | — |
| ME | RR | $37.12 | — |
| MI | RR | $37.12 | — |
| MN | RR | $37.12 | — |
| MO | RR | $37.12 | — |
| MS | RR | $37.12 | — |
| MT | RR | $37.12 | — |
| NC | RR | $37.12 | — |
| ND | RR | $37.12 | — |
| NE | RR | $37.12 | — |
| NH | RR | $37.12 | — |
| NJ | RR | $37.12 | — |
| NM | RR | $37.12 | — |
| NV | RR | $37.12 | — |
| NY | RR | $37.12 | — |
| OH | RR | $37.12 | — |
| OK | RR | $37.12 | — |
| OR | RR | $37.12 | — |
| PA | RR | $37.12 | — |
| PR | RR | $37.12 | — |
| RI | RR | $37.12 | — |
| SC | RR | $37.12 | — |
| SD | RR | $37.12 | — |
| TN | RR | $37.12 | — |
| TX | RR | $37.12 | — |
| UT | RR | $37.12 | — |
| VA | RR | $37.12 | — |
| VI | RR | $37.12 | — |
| VT | RR | $37.12 | — |
| WA | RR | $37.12 | — |
| WI | RR | $37.12 | — |
| WV | RR | $37.12 | — |
| WY | RR | $37.12 | — |
How the E0530 fee compares
| Measure | Value |
|---|---|
| Rank among 13 E05 codes billed RR (lowest = 1) | 8 |
| Family fee range (average of state fees) | $7.81–$150.24 |
| Rural fee uplift | — |
Who bills E0530 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 1 |
| Suppliers billing purchases | — |
| Referring clinicians | 1 |
| Medicare beneficiaries | 0 |
| States with claims | 1 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0530, 2024–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2024 | 12 | 0 | $31.10 | $24.38 |
States with the most E0530 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Tennessee | 12 | $24.38 |
What changed for E0530
- 2026-01-01: Average state fee (RR) rose 2.0%: $36.39 to $37.12
- 2024-01-01: E0530 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 E0530?
E0530 is the HCPCS Level II code for electronic positional obstructive sleep apnea treatment, with sensor, includes all components and accessories, any type. Short descriptor: "Electronic posa treatment".
How much does Medicare pay for E0530?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $37.12. Rural fees can be higher.
Does Medicare cover E0530?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E0530 change in 2026?
The average non-rural state fee for RR moved from $36.39 in 2025 to $37.12 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
Related E05 codes
- E0500 — Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source ($132.97–$168.94)
- 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 E0530
- Watch E0530 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0530
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.