E0466 — Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)
HCPCS Level II E-code · short descriptor: “Home vent non-invasive inter”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Special coverage instructions apply
- DMEPOS payment category
- Frequently serviced
- Prior authorization
- Not on Medicare required-PA list
- Status
- Active (April 2026 HCPCS)
Prior authorization
Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.
E0466 Medicare fee schedule (April 2026)
RR — Monthly rental Frequently serviced
Medicare allowable ranges from $1113.72 to $2261.71 depending on state and rural status.
Former-CBA payment limits: ceiling $1360.33 · floor $1156.28
| State | Non-rural | Rural |
|---|---|---|
| AK | $1113.72 | — |
| AL | $1156.28 | — |
| AR | $1327.91 | — |
| AZ | $1360.33 | — |
| CA | $1156.28 | — |
| CO | $1156.28 | — |
| CT | $1360.33 | — |
| DC | $1224.88 | — |
| DE | $1360.33 | — |
| FL | $1360.33 | — |
| GA | $1360.33 | — |
| HI | $1190.93 | — |
| IA | $1291.69 | — |
| ID | $1166.61 | — |
| IL | $1360.33 | — |
| IN | $1156.28 | — |
| KS | $1309.75 | — |
| KY | $1360.33 | — |
| LA | $1192.96 | — |
| MA | $1360.33 | — |
| MD | $1156.28 | — |
| ME | $1265.07 | — |
| MI | $1360.33 | — |
| MN | $1360.33 | — |
| MO | $1268.08 | — |
| MS | $1156.28 | — |
| MT | $1188.26 | — |
| NC | $1360.33 | — |
| ND | $1360.33 | — |
| NE | $1314.68 | — |
| NH | $1360.33 | — |
| NJ | $1360.33 | — |
| NM | $1311.33 | — |
| NV | $1360.33 | — |
| NY | $1360.33 | — |
| OH | $1360.33 | — |
| OK | $1360.33 | — |
| OR | $1333.16 | — |
| PA | $1360.33 | — |
| PR | $2261.71 | — |
| RI | $1360.33 | — |
| SC | $1156.28 | — |
| SD | $1360.33 | — |
| TN | $1360.33 | — |
| TX | $1360.33 | — |
| UT | $1249.23 | — |
| VA | $1358.87 | — |
| VI | $1360.33 | — |
| VT | $1193.68 | — |
| WA | $1156.28 | — |
| WI | $1164.25 | — |
| WV | $1360.33 | — |
| WY | $1360.33 | — |
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026.
Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%.
A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area
adjustments and non-continental rates can differ — verify with your DME MAC.
Common denial codes to watch
Related E-codes
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