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E0484 — Oscillatory positive expiratory pressure device, non-electric, any type, each

HCPCS Level II E-code · short descriptor: “Non-elec oscillatory pep dvc”

Code system
HCPCS Level II
Family
E — Durable medical equipment
Medicare coverage status
Carrier judgment — coverage decided by the DME MAC
DMEPOS payment category
Inexpensive or routinely purchased
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.

E0484 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $52.64 to $63.10 depending on state and rural status.

Former-CBA payment limits: ceiling $52.64 · floor $44.74

StateNon-ruralRural
AK$52.64
AL$52.64
AR$52.64
AZ$52.64
CA$52.64
CO$52.64
CT$52.64
DC$52.64
DE$52.64
FL$52.64
GA$52.64
HI$52.64
IA$52.64
ID$52.64
IL$52.64
IN$52.64
KS$52.64
KY$52.64
LA$52.64
MA$52.64
MD$52.64
ME$52.64
MI$52.64
MN$52.64
MO$52.64
MS$52.64
MT$52.64
NC$52.64
ND$52.64
NE$52.64
NH$52.64
NJ$52.64
NM$52.64
NV$52.64
NY$52.64
OH$52.64
OK$52.64
OR$52.64
PA$52.64
PR$63.10
RI$52.64
SC$52.64
SD$52.64
TN$52.64
TX$52.64
UT$52.64
VA$52.64
VI$52.64
VT$52.64
WA$52.64
WI$52.64
WV$52.64
WY$52.64

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $5.26 to $6.30 depending on state and rural status.

Former-CBA payment limits: ceiling $5.26 · floor $4.47

StateNon-ruralRural
AK$5.26
AL$5.26
AR$5.26
AZ$5.26
CA$5.26
CO$5.26
CT$5.26
DC$5.26
DE$5.26
FL$5.26
GA$5.26
HI$5.26
IA$5.26
ID$5.26
IL$5.26
IN$5.26
KS$5.26
KY$5.26
LA$5.26
MA$5.26
MD$5.26
ME$5.26
MI$5.26
MN$5.26
MO$5.26
MS$5.26
MT$5.26
NC$5.26
ND$5.26
NE$5.26
NH$5.26
NJ$5.26
NM$5.26
NV$5.26
NY$5.26
OH$5.26
OK$5.26
OR$5.26
PA$5.26
PR$6.30
RI$5.26
SC$5.26
SD$5.26
TN$5.26
TX$5.26
UT$5.26
VA$5.26
VI$5.26
VT$5.26
WA$5.26
WI$5.26
WV$5.26
WY$5.26

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $39.48 to $47.37 depending on state and rural status.

Former-CBA payment limits: ceiling $39.48 · floor $33.56

StateNon-ruralRural
AK$39.48
AL$39.48
AR$39.48
AZ$39.48
CA$39.48
CO$39.48
CT$39.48
DC$39.48
DE$39.48
FL$39.48
GA$39.48
HI$39.48
IA$39.48
ID$39.48
IL$39.48
IN$39.48
KS$39.48
KY$39.48
LA$39.48
MA$39.48
MD$39.48
ME$39.48
MI$39.48
MN$39.48
MO$39.48
MS$39.48
MT$39.48
NC$39.48
ND$39.48
NE$39.48
NH$39.48
NJ$39.48
NM$39.48
NV$39.48
NY$39.48
OH$39.48
OK$39.48
OR$39.48
PA$39.48
PR$47.37
RI$39.48
SC$39.48
SD$39.48
TN$39.48
TX$39.48
UT$39.48
VA$39.48
VI$39.48
VT$39.48
WA$39.48
WI$39.48
WV$39.48
WY$39.48
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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