E0601 HCPCS code: Continuous positive airway pressure (CPAP) device
E0601 is the HCPCS Level II code for continuous positive airway pressure (CPAP) device. The 2026 Medicare DMEPOS fee schedule pays $50.04 to $100.22 (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 rose 18% from 2022 to 2024 (3,569,249 to 4,211,936 services). In 2024, 4,454 suppliers billed Medicare for E0601 (rentals), serving 734,256 beneficiaries; Florida, California, Texas accounted for 21% of services. Its average fee ranks 19 of 49 E06 codes billed RR (family range $4.26–$1,250.50); rural fees run 72% 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 | 1988-01-01 |
| Last action effective | 2014-01-01 |
2026 Medicare DMEPOS fee schedule for E0601
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $50.04 | $100.22 | — | — |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $93.44 | — |
| AL | RR | $51.94 | $97.02 |
| AR | RR | $51.94 | $86.69 |
| AZ | RR | $50.91 | $97.02 |
| CA | RR | $50.44 | $93.04 |
| CO | RR | $50.90 | $88.53 |
| CT | RR | $50.89 | $91.19 |
| DC | RR | $50.04 | $94.64 |
| DE | RR | $50.04 | $92.32 |
| FL | RR | $51.94 | $86.69 |
| GA | RR | $51.94 | $97.02 |
| HI | RR | $97.97 | — |
| IA | RR | $50.70 | $97.02 |
| ID | RR | $50.90 | $97.02 |
| IL | RR | $52.65 | $97.02 |
| IN | RR | $52.65 | $97.02 |
| KS | RR | $50.70 | $97.02 |
| KY | RR | $51.94 | $96.84 |
| LA | RR | $51.94 | $86.69 |
| MA | RR | $50.89 | $87.95 |
| MD | RR | $50.04 | $97.02 |
| ME | RR | $50.89 | $89.69 |
| MI | RR | $52.65 | $89.77 |
| MN | RR | $50.70 | $87.90 |
| MO | RR | $50.70 | $97.02 |
| MS | RR | $51.94 | $90.04 |
| MT | RR | $50.90 | $86.69 |
| NC | RR | $51.94 | $97.02 |
| ND | RR | $50.70 | $95.80 |
| NE | RR | $50.70 | $97.02 |
| NH | RR | $50.89 | $87.44 |
| NJ | RR | $50.04 | $89.86 |
| NM | RR | $50.91 | $97.02 |
| NV | RR | $50.44 | $97.02 |
| NY | RR | $50.04 | $97.02 |
| OH | RR | $52.65 | $97.02 |
| OK | RR | $50.91 | $97.02 |
| OR | RR | $50.44 | $97.02 |
| PA | RR | $50.04 | $91.18 |
| PR | RR | $100.22 | — |
| RI | RR | $50.89 | $97.02 |
| SC | RR | $51.94 | $97.02 |
| SD | RR | $50.70 | $97.02 |
| TN | RR | $51.94 | $97.02 |
| TX | RR | $50.91 | $91.52 |
| UT | RR | $50.90 | $97.02 |
| VA | RR | $51.94 | $91.49 |
| VI | RR | $96.75 | — |
| VT | RR | $50.89 | $87.74 |
| WA | RR | $50.44 | $97.02 |
| WI | RR | $52.65 | $94.05 |
| WV | RR | $51.94 | $95.02 |
| WY | RR | $50.90 | $97.02 |
How the E0601 fee compares
| Measure | Value |
|---|---|
| Rank among 49 E06 codes billed RR (lowest = 1) | 19 |
| Family fee range (average of state fees) | $4.26–$1,250.50 |
| Rural fee uplift | 71.8% |
Who bills E0601 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 4,454 |
| Suppliers billing purchases | 135 |
| Referring clinicians | 87,083 |
| Medicare beneficiaries | 734,256 |
| States with claims | 60 |
| Share of services in top 3 states (Florida, California, Texas) | 21% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 4,544 | 645,005 |
| 2023 | 4,480 | 713,778 |
| 2024 | 4,454 | 734,256 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0601, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 3,569,249 | 645,005 | $46.67 | $33.80 |
| 2023 | 4,393,181 | 713,778 | $49.74 | $36.16 |
| 2024 | 4,211,936 | 734,256 | $47.42 | $34.34 |
States with the most E0601 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 306,648 | $32.32 |
| California | 301,685 | $30.43 |
| Texas | 287,602 | $33.35 |
| Illinois | 179,064 | $34.99 |
| Pennsylvania | 156,969 | $31.82 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Nature of Equipment |
Medicare policy articles for this code
- A52467: Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
Covered diagnoses (1 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| G47.33 | Obstructive sleep apnea (adult) (pediatric) | 1 |
What changed for E0601
- 2026-01-01: Average state fee (RR) rose 2.6%: $53.23 to $54.63
- 1988-01-01: E0601 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 E0601?
E0601 is the HCPCS Level II code for continuous positive airway pressure (CPAP) device. Short descriptor: "Cont airway pressure device".
How much does Medicare pay for E0601?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $50.04–$100.22. Rural fees can be higher.
Does Medicare cover E0601?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Which diagnoses support coverage for E0601?
Medicare policy articles that cite E0601 list 1 covered ICD-10-CM diagnosis codes across 1 article. The most cited include G47.33 (Obstructive sleep apnea (adult) (pediatric)). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
Did the Medicare fee for E0601 change in 2026?
The average non-rural state fee for RR moved from $53.23 in 2025 to $54.63 in 2026 (+2.6%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0601 can be billed per day?
1 on DME suppliers (NCCI medically unlikely edits).
Related E06 codes
- E0600 — Respiratory suction pump, home model, portable or stationary, electric ($55.46–$96.87)
- E0602 — Breast pump, manual, any type ($4.24–$50.46)
- E0603 — Breast pump, electric (ac and/or dc), any type
- E0604 — Breast pump, hospital grade, electric (ac and / or dc), any type
- E0605 — Vaporizer, room type ($2.79–$107.68)
- E0606 — Postural drainage board ($27.80–$33.43)
- E0607 — Home blood glucose monitor ($9.52–$108.55)
- E0610 — Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems) ($30.39–$720.87)
- E0615 — Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems ($54.03–$720.87)
- E0616 — Implantable cardiac event recorder with memory, activator and programmer
- E0617 — External defibrillator with integrated electrocardiogram analysis ($433.30–$577.30)
- E0618 — Apnea monitor, without recording feature ($339.62–$494.57)
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 E0601
- Watch E0601 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0601
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.