E0500 — Ippb machine, all types, with built-in nebulization; manual or automatic valves; internal or external power source
HCPCS Level II E-code · short descriptor: “Ippb all types”
- 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
- 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.
E0500 Medicare fee schedule (April 2026)
RR — Monthly rental Frequently serviced
Medicare allowable ranges from $132.97 to $168.94 depending on state and rural status.
Former-CBA payment limits: ceiling $156.43 · floor $132.97
| State | Non-rural | Rural |
|---|---|---|
| AK | $158.00 | — |
| AL | $156.43 | — |
| AR | $156.43 | — |
| AZ | $150.97 | — |
| CA | $156.43 | — |
| CO | $132.97 | — |
| CT | $152.52 | — |
| DC | $142.83 | — |
| DE | $147.28 | — |
| FL | $156.43 | — |
| GA | $132.97 | — |
| HI | $168.94 | — |
| IA | $138.33 | — |
| ID | $143.67 | — |
| IL | $156.43 | — |
| IN | $149.03 | — |
| KS | $156.43 | — |
| KY | $151.52 | — |
| LA | $132.97 | — |
| MA | $156.43 | — |
| MD | $150.29 | — |
| ME | $156.43 | — |
| MI | $156.43 | — |
| MN | $135.30 | — |
| MO | $156.43 | — |
| MS | $132.97 | — |
| MT | $140.81 | — |
| NC | $145.88 | — |
| ND | $153.27 | — |
| NE | $156.43 | — |
| NH | $156.43 | — |
| NJ | $156.43 | — |
| NM | $156.43 | — |
| NV | $154.16 | — |
| NY | $156.43 | — |
| OH | $156.43 | — |
| OK | $156.43 | — |
| OR | $145.62 | — |
| PA | $148.32 | — |
| PR | $137.06 | — |
| RI | $156.43 | — |
| SC | $156.43 | — |
| SD | $156.43 | — |
| TN | $133.01 | — |
| TX | $156.43 | — |
| UT | $141.34 | — |
| VA | $156.43 | — |
| VI | $156.43 | — |
| VT | $156.43 | — |
| WA | $132.97 | — |
| WI | $156.43 | — |
| WV | $156.43 | — |
| WY | $142.48 | — |
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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