E0574 HCPCS code: Ultrasonic/electronic aerosol generator with small volume nebulizer
E0574 is the HCPCS Level II code for ultrasonic/electronic aerosol generator with small volume nebulizer. The 2026 Medicare DMEPOS fee schedule pays $48.76 to $67.63 (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 fell 30% from 2022 to 2024 (4,596 to 3,227 services). In 2024, 31 suppliers billed Medicare for E0574 (rentals), serving 708 beneficiaries; Texas, Florida, Massachusetts accounted for 24% of services. Its average fee ranks 10 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 | 2001-01-01 |
| Last action effective | 2003-01-01 |
2026 Medicare DMEPOS fee schedule for E0574
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $48.76 | $67.63 | $57.36 | $48.76 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $65.59 | — |
| AL | RR | $56.50 | — |
| AR | RR | $57.36 | — |
| AZ | RR | $53.56 | — |
| CA | RR | $54.97 | — |
| CO | RR | $57.36 | — |
| CT | RR | $57.36 | — |
| DC | RR | $57.36 | — |
| DE | RR | $56.33 | — |
| FL | RR | $52.80 | — |
| GA | RR | $55.99 | — |
| HI | RR | $54.27 | — |
| IA | RR | $57.36 | — |
| ID | RR | $57.36 | — |
| IL | RR | $57.36 | — |
| IN | RR | $57.36 | — |
| KS | RR | $57.36 | — |
| KY | RR | $57.36 | — |
| LA | RR | $56.64 | — |
| MA | RR | $57.36 | — |
| MD | RR | $54.46 | — |
| ME | RR | $57.36 | — |
| MI | RR | $55.18 | — |
| MN | RR | $57.36 | — |
| MO | RR | $57.36 | — |
| MS | RR | $51.65 | — |
| MT | RR | $52.05 | — |
| NC | RR | $57.36 | — |
| ND | RR | $51.95 | — |
| NE | RR | $57.36 | — |
| NH | RR | $57.36 | — |
| NJ | RR | $54.09 | — |
| NM | RR | $51.03 | — |
| NV | RR | $54.89 | — |
| NY | RR | $55.98 | — |
| OH | RR | $57.36 | — |
| OK | RR | $57.36 | — |
| OR | RR | $57.36 | — |
| PA | RR | $55.29 | — |
| PR | RR | $67.63 | — |
| RI | RR | $48.76 | — |
| SC | RR | $55.55 | — |
| SD | RR | $56.56 | — |
| TN | RR | $54.06 | — |
| TX | RR | $57.36 | — |
| UT | RR | $57.36 | — |
| VA | RR | $54.48 | — |
| VI | RR | $57.36 | — |
| VT | RR | $57.36 | — |
| WA | RR | $57.36 | — |
| WI | RR | $57.36 | — |
| WV | RR | $55.73 | — |
| WY | RR | $56.42 | — |
How the E0574 fee compares
| Measure | Value |
|---|---|
| Rank among 13 E05 codes billed RR (lowest = 1) | 10 |
| Family fee range (average of state fees) | $7.81–$150.24 |
| Rural fee uplift | — |
Who bills E0574 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 31 |
| Suppliers billing purchases | — |
| Referring clinicians | 382 |
| Medicare beneficiaries | 708 |
| States with claims | 37 |
| Share of services in top 3 states (Texas, Florida, Massachusetts) | 24% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 31 | 1,003 |
| 2023 | 32 | 828 |
| 2024 | 31 | 708 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0574, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 4,596 | 1,003 | $40.01 | $30.21 |
| 2023 | 3,763 | 828 | $43.50 | $32.52 |
| 2024 | 3,227 | 708 | $44.74 | $33.78 |
States with the most E0574 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Texas | 279 | $34.93 |
| Florida | 253 | $31.73 |
| Massachusetts | 247 | $34.66 |
| California | 238 | $33.21 |
| South Carolina | 187 | $32.64 |
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 E0574
- 2026-01-01: Average state fee (RR) rose 2.0%: $55.20 to $56.30
- 2001-01-01: E0574 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 E0574?
E0574 is the HCPCS Level II code for ultrasonic/electronic aerosol generator with small volume nebulizer. Short descriptor: "Ultrasonic generator w svneb".
How much does Medicare pay for E0574?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $48.76–$67.63. Rural fees can be higher.
Does Medicare cover E0574?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Which diagnoses support coverage for E0574?
Medicare policy articles that cite E0574 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 E0574 change in 2026?
The average non-rural state fee for RR moved from $55.20 in 2025 to $56.30 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0574 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)
- E0570 — Nebulizer, with compressor ($6.09–$15.43)
- E0572 — Aerosol compressor, adjustable pressure, light duty for intermittent use ($29.16–$51.74)
- 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 E0574
- Watch E0574 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0574
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.