MyMedi-AI

E0482 — Cough stimulating device, alternating positive and negative airway pressure

HCPCS Level II E-code · short descriptor: “Cough stimulating device”

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
Face-to-face & WOPD
Not on the required list
MUE unit limit
1
Status
Active (HCPCS Level II October 2026)

Prior authorization

Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-26; 8 more from 2026-10-28; sources: CMS list updated 2026-01-13, CMS-6109-N (91 FR 47972)). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

Order readiness — what the written order must contain

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))

Not on the F2F/WOPD list (CMS Required F2F & WOPD List — 83 items in force on 2026-10-26; 22 more from 2026-10-28; sources: CMS list effective 2026-04-13 (91 FR 1250), CMS-6109-N (91 FR 47972)). The standard written order must reach the supplier before claim submission.

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

E0482 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $520.93 to $718.71 depending on state and rural status.

Former-CBA payment limits: ceiling $612.86 · floor $520.93

StateNon-ruralRural
AK$696.55—
AL$600.10—
AR$612.86—
AZ$568.81—
CA$583.81—
CO$612.86—
CT$612.86—
DC$612.86—
DE$598.21—
FL$560.98—
GA$594.45—
HI$576.71—
IA$612.86—
ID$612.86—
IL$612.86—
IN$612.86—
KS$612.86—
KY$612.86—
LA$602.00—
MA$612.86—
MD$578.05—
ME$612.86—
MI$586.07—
MN$612.86—
MO$612.86—
MS$549.18—
MT$552.61—
NC$612.86—
ND$551.79—
NE$612.86—
NH$612.86—
NJ$575.10—
NM$541.75—
NV$582.56—
NY$594.24—
OH$612.86—
OK$612.86—
OR$612.86—
PA$587.32—
PR$718.71—
RI$520.93—
SC$590.15—
SD$601.02—
TN$574.53—
TX$612.86—
UT$612.86—
VA$578.61—
VI$612.86—
VT$612.86—
WA$612.86—
WI$612.86—
WV$592.16—
WY$599.14—
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps E0482 at 1 unit per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Code Descriptor / CPT Instruction.

Common denial codes to watch

Related E-codes

Bill E0482 with confidence

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