E0471 — Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)
HCPCS Level II E-code · short descriptor: “Rad w/backup non inv intrfc”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Special coverage instructions apply
- 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.
E0471 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $324.35 to $642.07 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $589.44 | — |
| AL | $329.87 | $520.32 |
| AR | $329.87 | $520.32 |
| AZ | $324.35 | $579.71 |
| CA | $329.72 | $579.71 |
| CO | $347.40 | $529.99 |
| CT | $336.67 | $579.71 |
| DC | $325.75 | $520.32 |
| DE | $325.75 | $520.32 |
| FL | $329.87 | $520.32 |
| GA | $329.87 | $579.71 |
| HI | $617.57 | — |
| IA | $337.54 | $520.32 |
| ID | $347.40 | $579.71 |
| IL | $344.03 | $559.02 |
| IN | $344.03 | $520.32 |
| KS | $337.54 | $579.71 |
| KY | $329.87 | $579.71 |
| LA | $329.87 | $520.32 |
| MA | $336.67 | $579.71 |
| MD | $325.75 | $579.71 |
| ME | $336.67 | $579.71 |
| MI | $344.03 | $579.71 |
| MN | $337.54 | $536.89 |
| MO | $337.54 | $579.71 |
| MS | $329.87 | $540.55 |
| MT | $347.40 | $520.32 |
| NC | $329.87 | $579.71 |
| ND | $337.54 | $520.32 |
| NE | $337.54 | $579.71 |
| NH | $336.67 | $579.71 |
| NJ | $325.75 | $520.32 |
| NM | $324.35 | $520.32 |
| NV | $329.72 | $579.71 |
| NY | $325.75 | $579.71 |
| OH | $344.03 | $579.71 |
| OK | $324.35 | $520.32 |
| OR | $329.72 | $579.71 |
| PA | $325.75 | $520.32 |
| PR | $642.07 | — |
| RI | $336.67 | $579.71 |
| SC | $329.87 | $579.71 |
| SD | $337.54 | $520.32 |
| TN | $329.87 | $579.71 |
| TX | $324.35 | $520.32 |
| UT | $347.40 | $520.32 |
| VA | $329.87 | $548.36 |
| VI | $578.13 | — |
| VT | $336.67 | $579.71 |
| WA | $329.72 | $579.71 |
| WI | $344.03 | $520.32 |
| WV | $329.87 | $579.71 |
| WY | $347.40 | $520.32 |
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
Bill E0471 with confidence
MyMedi-AI scrubs whole claims against NCCI pairs, MUE limits, modifier rules, and PA flags before you submit — built for DME teams, no PHI stored on our servers.
Start free trial Run a CMS-0057-F readiness checkPrefer DIY compliance? Self-audit documentation kits for DME suppliers →