E0469 — Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device
HCPCS Level II E-code · short descriptor: “Lung expans high oscil neb”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Carrier judgment — coverage decided by the DME MAC
- DMEPOS payment category
- Capped rental
- 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.
E0469 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $1559.78 to $1880.52 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $1575.74 | — |
| AL | $1566.36 | — |
| AR | $1567.42 | — |
| AZ | $1563.71 | — |
| CA | $1564.79 | — |
| CO | $1567.38 | — |
| CT | $1567.44 | — |
| DC | $1567.31 | — |
| DE | $1566.09 | — |
| FL | $1563.10 | — |
| GA | $1565.89 | — |
| HI | $1565.75 | — |
| IA | $1567.42 | — |
| ID | $1567.38 | — |
| IL | $1567.48 | — |
| IN | $1567.48 | — |
| KS | $1567.42 | — |
| KY | $1567.42 | — |
| LA | $1566.52 | — |
| MA | $1567.44 | — |
| MD | $1564.41 | — |
| ME | $1567.44 | — |
| MI | $1565.25 | — |
| MN | $1567.42 | — |
| MO | $1567.42 | — |
| MS | $1562.12 | — |
| MT | $1562.36 | — |
| NC | $1567.42 | — |
| ND | $1562.33 | — |
| NE | $1567.42 | — |
| NH | $1567.44 | — |
| NJ | $1564.17 | — |
| NM | $1561.46 | — |
| NV | $1564.69 | — |
| NY | $1565.76 | — |
| OH | $1567.48 | — |
| OK | $1567.38 | — |
| OR | $1567.21 | — |
| PA | $1565.18 | — |
| PR | $1880.52 | — |
| RI | $1559.78 | — |
| SC | $1565.53 | — |
| SD | $1566.44 | — |
| TN | $1564.23 | — |
| TX | $1567.38 | — |
| UT | $1567.38 | — |
| VA | $1564.57 | — |
| VI | $1568.76 | — |
| VT | $1567.44 | — |
| WA | $1567.21 | — |
| WI | $1567.48 | — |
| WV | $1565.70 | — |
| WY | $1566.24 | — |
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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