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E0560 — Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery

HCPCS Level II E-code · short descriptor: “Humidifier supplemental w/ i”

Code system
HCPCS Level II
Family
E — Durable medical equipment
Medicare coverage status
Special coverage instructions apply
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.

E0560 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $148.36 to $225.28 depending on state and rural status.

Former-CBA payment limits: ceiling $210.66 · floor $179.06

StateNon-ruralRural
AK$148.36
AL$181.15
AR$210.66
AZ$210.66
CA$179.06
CO$179.06
CT$210.66
DC$194.80
DE$210.66
FL$186.68
GA$179.06
HI$158.67
IA$198.06
ID$196.69
IL$179.06
IN$210.66
KS$198.06
KY$189.41
LA$210.66
MA$210.66
MD$210.66
ME$210.66
MI$199.51
MN$210.66
MO$181.91
MS$208.67
MT$179.06
NC$200.69
ND$210.66
NE$198.06
NH$210.66
NJ$179.06
NM$210.66
NV$210.66
NY$210.66
OH$210.66
OK$210.66
OR$179.06
PA$179.06
PR$225.28
RI$210.66
SC$179.06
SD$210.66
TN$194.98
TX$210.66
UT$179.06
VA$205.92
VI$210.66
VT$210.66
WA$210.66
WI$210.66
WV$210.66
WY$210.66

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $20.98 to $34.97 depending on state and rural status.

Former-CBA payment limits: ceiling $24.68 · floor $20.98

StateNon-ruralRural
AK$32.69
AL$22.60
AR$24.68
AZ$24.68
CA$24.68
CO$20.98
CT$21.65
DC$24.68
DE$24.68
FL$24.38
GA$22.60
HI$34.97
IA$24.58
ID$20.98
IL$21.65
IN$24.68
KS$24.64
KY$20.98
LA$21.66
MA$24.68
MD$24.68
ME$24.68
MI$20.98
MN$24.68
MO$24.68
MS$20.98
MT$20.98
NC$20.98
ND$24.68
NE$24.58
NH$24.68
NJ$20.98
NM$22.90
NV$24.68
NY$24.68
OH$24.68
OK$22.90
OR$20.98
PA$24.68
PR$28.14
RI$24.68
SC$20.98
SD$24.68
TN$20.98
TX$22.77
UT$20.98
VA$24.68
VI$24.68
VT$24.68
WA$24.68
WI$24.68
WV$24.68
WY$24.68

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $111.29 to $168.96 depending on state and rural status.

Former-CBA payment limits: ceiling $158.01 · floor $134.31

StateNon-ruralRural
AK$111.29
AL$135.89
AR$158.01
AZ$158.01
CA$134.31
CO$134.31
CT$158.01
DC$146.04
DE$158.01
FL$139.98
GA$134.31
HI$119.00
IA$148.57
ID$147.53
IL$134.31
IN$158.01
KS$148.57
KY$142.04
LA$158.01
MA$158.01
MD$158.01
ME$158.01
MI$149.65
MN$158.01
MO$136.41
MS$156.50
MT$134.31
NC$150.50
ND$158.01
NE$148.57
NH$158.01
NJ$134.31
NM$158.01
NV$158.01
NY$158.01
OH$158.01
OK$158.01
OR$134.31
PA$134.31
PR$168.96
RI$158.01
SC$134.31
SD$158.01
TN$146.24
TX$158.01
UT$134.31
VA$154.46
VI$158.01
VT$158.01
WA$158.01
WI$158.01
WV$158.01
WY$158.01
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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