E0467 — Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation, includes all accessories, components and supplies for all functions

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

Face-to-face & WOPD

Required from 2026-10-28 (Home ventilators)

MUE unit limit

2

Status

Active (HCPCS Level II October 2026)

Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):

• Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
• General description of the item (42 CFR 410.38(d)(1)(i)(B))
• Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
• Order date (42 CFR 410.38(d)(1)(i)(D))
• Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
• Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))

F2F + WOPD FROM 2026-10-28 E0467 joins Medicare's Required Face-to-Face & WOPD List for dates of service on or after 2026-10-28 (Home ventilators — CMS-6109-N, 91 FR 47972 (published 2026-07-30)). From that date two extra conditions of payment apply:

• Face-to-face encounter (in-person or telehealth) with the treating practitioner within the 6 months before the order date
• Written order communicated to the supplier before delivery (WOPD)

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.