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
- 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 2026-10-25; 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 2026-10-25; 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.
E0560 Medicare fee schedule (October 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
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0560 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 E0560 with confidence
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