E0570 HCPCS code: Nebulizer, with compressor
E0570 is the HCPCS Level II code for nebulizer, with compressor. The 2026 Medicare DMEPOS fee schedule pays $6.09 to $15.43 (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 2% from 2022 to 2024 (1,499,470 to 1,463,114 services). In 2024, 5,857 suppliers billed Medicare for E0570 (rentals), serving 252,818 beneficiaries; California, Florida, Pennsylvania accounted for 21% of services. Its average fee ranks 1 of 13 E05 codes billed RR (family range $7.81–$150.24); rural fees run 98% higher.
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 E0570
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $6.09 | $15.43 | — | — |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $15.43 | — |
| AL | RR | $7.36 | $15.43 |
| AR | RR | $7.36 | $15.43 |
| AZ | RR | $7.15 | $15.43 |
| CA | RR | $6.09 | $15.43 |
| CO | RR | $7.16 | $15.43 |
| CT | RR | $7.48 | $15.43 |
| DC | RR | $6.74 | $15.43 |
| DE | RR | $6.74 | $15.43 |
| FL | RR | $7.36 | $15.43 |
| GA | RR | $7.36 | $15.43 |
| HI | RR | $15.43 | — |
| IA | RR | $7.35 | $15.43 |
| ID | RR | $7.16 | $15.43 |
| IL | RR | $7.71 | $15.43 |
| IN | RR | $7.71 | $15.43 |
| KS | RR | $7.35 | $15.43 |
| KY | RR | $7.36 | $15.43 |
| LA | RR | $7.36 | $15.43 |
| MA | RR | $7.48 | $15.43 |
| MD | RR | $6.74 | $15.43 |
| ME | RR | $7.48 | $15.43 |
| MI | RR | $7.71 | $15.43 |
| MN | RR | $7.35 | $15.43 |
| MO | RR | $7.35 | $15.43 |
| MS | RR | $7.36 | $15.43 |
| MT | RR | $7.16 | $15.43 |
| NC | RR | $7.36 | $15.43 |
| ND | RR | $7.35 | $15.43 |
| NE | RR | $7.35 | $15.43 |
| NH | RR | $7.48 | $15.43 |
| NJ | RR | $6.74 | $15.43 |
| NM | RR | $7.15 | $15.43 |
| NV | RR | $6.09 | $15.43 |
| NY | RR | $6.74 | $15.43 |
| OH | RR | $7.71 | $15.43 |
| OK | RR | $7.15 | $15.43 |
| OR | RR | $6.09 | $15.43 |
| PA | RR | $6.74 | $15.43 |
| PR | RR | $15.02 | — |
| RI | RR | $7.48 | $15.43 |
| SC | RR | $7.36 | $15.43 |
| SD | RR | $7.35 | $15.43 |
| TN | RR | $7.36 | $15.43 |
| TX | RR | $7.15 | $15.43 |
| UT | RR | $7.16 | $15.43 |
| VA | RR | $7.36 | $15.43 |
| VI | RR | $15.43 | — |
| VT | RR | $7.48 | $15.43 |
| WA | RR | $6.09 | $15.43 |
| WI | RR | $7.71 | $15.43 |
| WV | RR | $7.36 | $15.43 |
| WY | RR | $7.16 | $15.43 |
How the E0570 fee compares
| Measure | Value |
|---|---|
| Rank among 13 E05 codes billed RR (lowest = 1) | 1 |
| Family fee range (average of state fees) | $7.81–$150.24 |
| Rural fee uplift | 97.7% |
Who bills E0570 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 5,857 |
| Suppliers billing purchases | 131 |
| Referring clinicians | 100,867 |
| Medicare beneficiaries | 252,818 |
| States with claims | 56 |
| Share of services in top 3 states (California, Florida, Pennsylvania) | 21% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 6,632 | 264,621 |
| 2023 | 6,207 | 260,494 |
| 2024 | 5,857 | 252,818 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0570, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 1,499,470 | 264,621 | $7.37 | $5.20 |
| 2023 | 1,531,734 | 260,494 | $7.81 | $5.54 |
| 2024 | 1,463,114 | 252,818 | $7.24 | $5.15 |
States with the most E0570 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 132,951 | $3.79 |
| Florida | 101,648 | $4.49 |
| Pennsylvania | 72,224 | $4.59 |
| New York | 69,535 | $4.17 |
| Texas | 67,941 | $5.19 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Nature of Equipment |
Medicare policy articles for this code
- A52466: Nebulizers - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
Covered diagnoses (215 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| A15.0 | Tuberculosis of lung | 1 |
| A22.1 | Pulmonary anthrax | 1 |
| A37.01 | Whooping cough due to Bordetella pertussis with pneumonia | 1 |
| A37.11 | Whooping cough due to Bordetella parapertussis with pneumonia | 1 |
| A37.81 | Whooping cough due to other Bordetella species with pneumonia | 1 |
| A37.91 | Whooping cough, unspecified species with pneumonia | 1 |
| A48.1 | Legionnaires' disease | 1 |
| B20 | Human immunodeficiency virus [HIV] disease | 1 |
| B25.0 | Cytomegaloviral pneumonitis | 1 |
| B44.0 | Invasive pulmonary aspergillosis | 1 |
Showing 10 of 215. The full list, non-covered diagnoses and CSV export are in Caduvo.
What changed for E0570
- 2026-01-01: Average state fee (RR) rose 2.6%: $7.60 to $7.81
- 1986-01-01: E0570 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 E0570?
E0570 is the HCPCS Level II code for nebulizer, with compressor. Short descriptor: "Nebulizer with compression".
How much does Medicare pay for E0570?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $6.09–$15.43. Rural fees can be higher.
Does Medicare cover E0570?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Which diagnoses support coverage for E0570?
Medicare policy articles that cite E0570 list 215 covered ICD-10-CM diagnosis codes across 1 article. The most cited include A15.0 (Tuberculosis of lung), A22.1 (Pulmonary anthrax), A37.01 (Whooping cough due to Bordetella pertussis with pneumonia). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
Did the Medicare fee for E0570 change in 2026?
The average non-rural state fee for RR moved from $7.60 in 2025 to $7.81 in 2026 (+2.6%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0570 can be billed per day?
1 on DME suppliers (NCCI medically unlikely edits).
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)
- 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)
- 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 E0570
- Watch E0570 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0570
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.