BiPAP machine HCPCS code
A BiPAP machine is usually billed under HCPCS code E0470 (Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)); related codes are E0471. The 2026 Medicare DMEPOS fee schedule pays $129.84 to $237.27 (RR, rental (monthly)) for E0470, depending on the state. Medicare paid for 540,678 E0470 services from 4,008 suppliers in 2024.
HCPCS codes for BiPAP machine
| Code | Description | Medicare coverage | DMEPOS fee (state range) | Medicare services |
|---|---|---|---|---|
| E0470 | Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | Special coverage instructions apply | $129.84–$237.27 (RR) | 540,678 (2024) |
| E0471 | Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | Special coverage instructions apply | $324.35–$642.07 (RR) | 188,380 (2024) |
Supplies and accessories
| Code | Description | Medicare coverage | DMEPOS fee (state range) | Medicare services |
|---|---|---|---|---|
| E0562 | Humidifier, heated, used with positive airway pressure device | Carrier judgment | $168.20–$316.53 (NU) | 1,370,309 (2024) |
| A7030 | Full face mask used with positive airway pressure device, each | Carrier judgment | $109.52–$200.55 (NU) | 2,020,250 (2024) |
| A7034 | Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap | Carrier judgment | $67.86–$125.21 (NU) | 2,475,817 (2024) |
| A7037 | Tubing used with positive airway pressure device | Carrier judgment | $14.19–$36.48 (NU) | 1,268,722 (2024) |
| A7038 | Filter, disposable, used with positive airway pressure device | Carrier judgment | $2.55–$5.23 (NU) | 23,201,087 (2024) |
| A7046 | Water chamber for humidifier, used with positive airway pressure device, replacement, each | Special coverage instructions apply | $15.83–$23.57 (NU) | 1,797,000 (2024) |
Medicare revenue estimate for E0470
Units per month × state fee = monthly Medicare revenue. At 10 units a month, E0470 (RR) pays $2,372.70 in HI and $1,298.40 in DC, before the 20% patient coinsurance.
Medicare coverage policy
Frequently asked questions
What is the HCPCS code for a BiPAP machine?
E0470: Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device). Other BiPAP machine codes: E0471 (Rad w/backup non inv intrfc).
Does Medicare cover a BiPAP machine?
By HCPCS coverage code — E0470: Special coverage instructions apply; E0471: Special coverage instructions apply.
How much does Medicare pay for a BiPAP machine?
Under the 2026 DMEPOS fee schedule (non-rural state fees): E0470 $129.84 to $237.27 (RR, rental (monthly)); E0471 $324.35 to $642.07 (RR, rental (monthly)).
Which supplies and accessories are billed with a BiPAP machine?
E0562 (Humidifier heated used w pap); A7030 (Cpap full face mask); A7034 (Nasal application device); A7037 (Pos airway pressure tubing); A7038 (Pos airway pressure filter); A7046 (Repl water chamber, pap dev).
Next steps
- Run a reimbursement report for a device billed under E0470
- Watch E0470 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0470
Part of CPAP and sleep apnea devices.
Related equipment
Sources: CMS HCPCS Level II; CMS DMEPOS fee schedule 2026; CMS Medicare utilization; CMS Medicare Coverage Database. Fees are Medicare allowables (non-rural, by state), not commercial rates. Code choice depends on the exact item; check the descriptor. Not billing or legal advice.