CPAP machine HCPCS code
A CPAP machine is usually billed under HCPCS code E0601 (Continuous positive airway pressure (CPAP) device). The 2026 Medicare DMEPOS fee schedule pays $50.04 to $100.22 (RR, rental (monthly)) for E0601, depending on the state. Medicare paid for 4,211,936 E0601 services from 4,454 suppliers in 2024. Auto-titrating CPAP machines bill under the same code as fixed-pressure CPAP. Bi-level devices are a different code: see BiPAP.
HCPCS codes for CPAP machine
| Code | Description | Medicare coverage | DMEPOS fee (state range) | Medicare services |
|---|---|---|---|---|
| E0601 | Continuous positive airway pressure (CPAP) device | Special coverage instructions apply | $50.04–$100.22 (RR) | 4,211,936 (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) |
| E0561 | Humidifier, non-heated, used with positive airway pressure device | Carrier judgment | $84.58–$128.48 (NU) | 69 (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) |
| A7027 | Combination oral/nasal mask, used with continuous positive airway pressure device, each | Carrier judgment | $142.24–$218.86 (NU) | 398 (2024) |
| A7044 | Oral interface used with positive airway pressure device, each | Carrier judgment | $98.74–$146.47 (NU) | 187 (2024) |
| A7035 | Headgear used with positive airway pressure device | Carrier judgment | $22.56–$38.30 (NU) | 2,634,136 (2024) |
| A7036 | Chinstrap used with positive airway pressure device | Carrier judgment | $12.95–$18.48 (NU) | 239,336 (2024) |
| A7037 | Tubing used with positive airway pressure device | Carrier judgment | $14.19–$36.48 (NU) | 1,268,722 (2024) |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | Carrier judgment | $49.31–$76.79 (NU) | 3,056,009 (2024) |
| A7038 | Filter, disposable, used with positive airway pressure device | Carrier judgment | $2.55–$5.23 (NU) | 23,201,087 (2024) |
| A7039 | Filter, non disposable, used with positive airway pressure device | Carrier judgment | $7.39–$13.60 (NU) | 512,044 (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 E0601
Units per month × state fee = monthly Medicare revenue. At 10 units a month, E0601 (RR) pays $1,002.20 in PR and $500.40 in DC, before the 20% patient coinsurance.
Medicare coverage policy
Frequently asked questions
What is the HCPCS code for a CPAP machine?
E0601: Continuous positive airway pressure (CPAP) device.
Does Medicare cover a CPAP machine?
By HCPCS coverage code — E0601: Special coverage instructions apply.
How much does Medicare pay for a CPAP machine?
Under the 2026 DMEPOS fee schedule (non-rural state fees): E0601 $50.04 to $100.22 (RR, rental (monthly)).
Which supplies and accessories are billed with a CPAP machine?
E0562 (Humidifier heated used w pap); E0561 (Humidifier nonheated w pap); A7030 (Cpap full face mask); A7034 (Nasal application device); A7027 (Combination oral/nasal mask); A7044 (Pap oral interface); A7035 (Pos airway press headgear); A7036 (Pos airway press chinstrap).
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
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.