E0585 HCPCS code: Nebulizer, with compressor and heater
E0585 is the HCPCS Level II code for nebulizer, with compressor and heater. The 2026 Medicare DMEPOS fee schedule pays $32.06 to $60.76 (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. Its average fee ranks 7 of 13 E05 codes billed RR (family range $7.81–$150.24); rural fees run 16% 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 E0585
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $32.06 | $60.76 | — | — |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $58.07 | — |
| AL | RR | $37.20 | $40.69 |
| AR | RR | $37.20 | $44.44 |
| AZ | RR | $32.17 | $40.69 |
| CA | RR | $34.59 | $44.44 |
| CO | RR | $35.71 | $44.44 |
| CT | RR | $35.39 | $44.44 |
| DC | RR | $35.30 | $44.44 |
| DE | RR | $35.30 | $44.44 |
| FL | RR | $37.20 | $43.57 |
| GA | RR | $37.20 | $40.69 |
| HI | RR | $60.76 | — |
| IA | RR | $32.06 | $44.44 |
| ID | RR | $35.71 | $40.69 |
| IL | RR | $38.50 | $40.69 |
| IN | RR | $38.50 | $44.44 |
| KS | RR | $32.06 | $40.69 |
| KY | RR | $37.20 | $44.44 |
| LA | RR | $37.20 | $44.44 |
| MA | RR | $35.39 | $40.69 |
| MD | RR | $35.30 | $44.44 |
| ME | RR | $35.39 | $40.69 |
| MI | RR | $38.50 | $40.69 |
| MN | RR | $32.06 | $44.44 |
| MO | RR | $32.06 | $40.69 |
| MS | RR | $37.20 | $40.69 |
| MT | RR | $35.71 | $44.44 |
| NC | RR | $37.20 | $40.69 |
| ND | RR | $32.06 | $40.69 |
| NE | RR | $32.06 | $40.69 |
| NH | RR | $35.39 | $40.69 |
| NJ | RR | $35.30 | $44.44 |
| NM | RR | $32.17 | $41.07 |
| NV | RR | $34.59 | $40.69 |
| NY | RR | $35.30 | $44.44 |
| OH | RR | $38.50 | $44.44 |
| OK | RR | $32.17 | $44.44 |
| OR | RR | $34.59 | $44.44 |
| PA | RR | $35.30 | $44.44 |
| PR | RR | $54.09 | — |
| RI | RR | $35.39 | $44.44 |
| SC | RR | $37.20 | $44.44 |
| SD | RR | $32.06 | $40.69 |
| TN | RR | $37.20 | $42.23 |
| TX | RR | $32.17 | $44.44 |
| UT | RR | $35.71 | $40.69 |
| VA | RR | $37.20 | $44.44 |
| VI | RR | $44.44 | — |
| VT | RR | $35.39 | $40.69 |
| WA | RR | $34.59 | $40.69 |
| WI | RR | $38.50 | $44.44 |
| WV | RR | $37.20 | $44.44 |
| WY | RR | $35.71 | $40.69 |
How the E0585 fee compares
| Measure | Value |
|---|---|
| Rank among 13 E05 codes billed RR (lowest = 1) | 7 |
| Family fee range (average of state fees) | $7.81–$150.24 |
| Rural fee uplift | 16.0% |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Nature of Equipment |
What changed for E0585
- 2026-01-01: Average state fee (RR) rose 2.7%: $35.85 to $36.80
- 1986-01-01: E0585 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 E0585?
E0585 is the HCPCS Level II code for nebulizer, with compressor and heater. Short descriptor: "Nebulizer w/ compressor & he".
How much does Medicare pay for E0585?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $32.06–$60.76. Rural fees can be higher.
Does Medicare cover E0585?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for E0585 change in 2026?
The average non-rural state fee for RR moved from $35.85 in 2025 to $36.80 in 2026 (+2.7%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0585 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)
- E0574 — Ultrasonic/electronic aerosol generator with small volume nebulizer ($48.76–$67.63)
- E0575 — Nebulizer, ultrasonic, large volume ($124.51–$159.48)
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Next steps
- Run a reimbursement report for a device billed under E0585
- Watch E0585 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0585
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.