Nebulizer HCPCS code
A nebulizer is usually billed under HCPCS code E0570 (Nebulizer, with compressor); related codes are E0585, E0574, E0575, E0580. The 2026 Medicare DMEPOS fee schedule pays $6.09 to $15.43 (RR, rental (monthly)) for E0570, depending on the state. Medicare paid for 1,463,114 E0570 services from 5,857 suppliers in 2024.
HCPCS codes for nebulizer
| Code | Description | Medicare coverage | DMEPOS fee (state range) | Medicare services |
|---|---|---|---|---|
| E0570 | Nebulizer, with compressor | Special coverage instructions apply | $6.09–$15.43 (RR) | 1,463,114 (2024) |
| E0585 | Nebulizer, with compressor and heater | Special coverage instructions apply | $32.06–$60.76 (RR) | 22 (2024) |
| E0574 | Ultrasonic/electronic aerosol generator with small volume nebulizer | Carrier judgment | $48.76–$67.63 (RR) | 3,227 (2024) |
| E0575 | Nebulizer, ultrasonic, large volume | Special coverage instructions apply | $124.51–$159.48 (RR) | — |
| E0580 | Nebulizer, durable, glass or autoclavable plastic, bottle type, for use with regulator or flowmeter | Special coverage instructions apply | $164.65–$182.27 (NU) | — |
Supplies and accessories
| Code | Description | Medicare coverage | DMEPOS fee (state range) | Medicare services |
|---|---|---|---|---|
| A7003 | Administration set, with small volume nonfiltered pneumatic nebulizer, disposable | Carrier judgment | $1.86–$3.26 (NU) | 488,153 (2024) |
| A7004 | Small volume nonfiltered pneumatic nebulizer, disposable | Carrier judgment | $1.51–$2.08 (NU) | 25,045 (2024) |
| A7005 | Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable | Carrier judgment | $11.77–$29.20 (NU) | 132,464 (2024) |
| A7015 | Aerosol mask, used with dme nebulizer | Carrier judgment | $1.46–$2.50 (NU) | 89,280 (2024) |
| A7017 | Nebulizer, durable, glass or autoclavable plastic, bottle type, not used with oxygen | Special coverage instructions apply | $130.82–$194.58 (NU) | 11 (2024) |
Medicare revenue estimate for E0570
Units per month × state fee = monthly Medicare revenue. At 10 units a month, E0570 (RR) pays $154.30 in AK and $60.90 in CA, before the 20% patient coinsurance.
Medicare coverage policy
Frequently asked questions
What is the HCPCS code for a nebulizer?
E0570: Nebulizer, with compressor. Other nebulizer codes: E0585 (Nebulizer w/ compressor & he); E0574 (Ultrasonic generator w svneb); E0575 (Nebulizer ultrasonic); E0580 (Nebulizer for use w/ regulat).
Does Medicare cover a nebulizer?
By HCPCS coverage code — E0570: Special coverage instructions apply; E0585: Special coverage instructions apply; E0574: Carrier judgment; E0575: Special coverage instructions apply; E0580: Special coverage instructions apply.
How much does Medicare pay for a nebulizer?
Under the 2026 DMEPOS fee schedule (non-rural state fees): E0570 $6.09 to $15.43 (RR, rental (monthly)); E0585 $32.06 to $60.76 (RR, rental (monthly)); E0574 $48.76 to $67.63 (RR, rental (monthly)); E0575 $124.51 to $159.48 (RR, rental (monthly)); E0580 $164.65 to $182.27 (NU, new equipment, purchased).
Which supplies and accessories are billed with a nebulizer?
A7003 (Nebulizer administration set); A7004 (Disposable nebulizer sml vol); A7005 (Nondisposable nebulizer set); A7015 (Aerosol mask used w nebulize); A7017 (Nebulizer not used w oxygen).
Next steps
- Run a reimbursement report for a device billed under E0570
- Watch E0570 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0570
Part of Nebulizers.
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.