E0561 — Humidifier, non-heated, used with positive airway pressure device
HCPCS Level II E-code · short descriptor: “Humidifier nonheated w pap”
- 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.
E0561 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $84.58 to $128.48 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $115.91 | — |
| AL | $92.23 | $115.59 |
| AR | $92.23 | $115.59 |
| AZ | $85.78 | $115.59 |
| CA | $94.31 | $115.59 |
| CO | $84.58 | $115.59 |
| CT | $92.52 | $115.59 |
| DC | $87.53 | $115.59 |
| DE | $87.53 | $115.59 |
| FL | $92.23 | $115.59 |
| GA | $92.23 | $115.59 |
| HI | $120.54 | — |
| IA | $87.06 | $115.59 |
| ID | $84.58 | $115.59 |
| IL | $96.13 | $115.59 |
| IN | $96.13 | $115.59 |
| KS | $87.06 | $115.59 |
| KY | $92.23 | $115.59 |
| LA | $92.23 | $115.59 |
| MA | $92.52 | $115.59 |
| MD | $87.53 | $115.59 |
| ME | $92.52 | $115.59 |
| MI | $96.13 | $115.59 |
| MN | $87.06 | $115.59 |
| MO | $87.06 | $115.59 |
| MS | $92.23 | $115.59 |
| MT | $84.58 | $115.59 |
| NC | $92.23 | $115.59 |
| ND | $87.06 | $115.59 |
| NE | $87.06 | $115.59 |
| NH | $92.52 | $115.59 |
| NJ | $87.53 | $115.59 |
| NM | $85.78 | $115.59 |
| NV | $94.31 | $115.59 |
| NY | $87.53 | $115.59 |
| OH | $96.13 | $115.59 |
| OK | $85.78 | $115.59 |
| OR | $94.31 | $115.59 |
| PA | $87.53 | $115.59 |
| PR | $128.48 | — |
| RI | $92.52 | $115.59 |
| SC | $92.23 | $115.59 |
| SD | $87.06 | $115.59 |
| TN | $92.23 | $115.59 |
| TX | $85.78 | $115.59 |
| UT | $84.58 | $115.59 |
| VA | $92.23 | $115.59 |
| VI | $115.33 | — |
| VT | $92.52 | $115.59 |
| WA | $94.31 | $115.59 |
| WI | $96.13 | $115.59 |
| WV | $92.23 | $115.59 |
| WY | $84.58 | $115.59 |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $8.46 to $12.85 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $11.59 | — |
| AL | $9.22 | $11.55 |
| AR | $9.22 | $11.55 |
| AZ | $8.58 | $11.55 |
| CA | $9.43 | $11.55 |
| CO | $8.46 | $11.55 |
| CT | $9.25 | $11.55 |
| DC | $8.75 | $11.55 |
| DE | $8.75 | $11.55 |
| FL | $9.22 | $11.55 |
| GA | $9.22 | $11.55 |
| HI | $12.06 | — |
| IA | $8.71 | $11.55 |
| ID | $8.46 | $11.55 |
| IL | $9.61 | $11.55 |
| IN | $9.61 | $11.55 |
| KS | $8.71 | $11.55 |
| KY | $9.22 | $11.55 |
| LA | $9.22 | $11.55 |
| MA | $9.25 | $11.55 |
| MD | $8.75 | $11.55 |
| ME | $9.25 | $11.55 |
| MI | $9.61 | $11.55 |
| MN | $8.71 | $11.55 |
| MO | $8.71 | $11.55 |
| MS | $9.22 | $11.55 |
| MT | $8.46 | $11.55 |
| NC | $9.22 | $11.55 |
| ND | $8.71 | $11.55 |
| NE | $8.71 | $11.55 |
| NH | $9.25 | $11.55 |
| NJ | $8.75 | $11.55 |
| NM | $8.58 | $11.55 |
| NV | $9.43 | $11.55 |
| NY | $8.75 | $11.55 |
| OH | $9.61 | $11.55 |
| OK | $8.58 | $11.55 |
| OR | $9.43 | $11.55 |
| PA | $8.75 | $11.55 |
| PR | $12.85 | — |
| RI | $9.25 | $11.55 |
| SC | $9.22 | $11.55 |
| SD | $8.71 | $11.55 |
| TN | $9.22 | $11.55 |
| TX | $8.58 | $11.55 |
| UT | $8.46 | $11.55 |
| VA | $9.22 | $11.55 |
| VI | $11.52 | — |
| VT | $9.25 | $11.55 |
| WA | $9.43 | $11.55 |
| WI | $9.61 | $11.55 |
| WV | $9.22 | $11.55 |
| WY | $8.46 | $11.55 |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $63.44 to $96.35 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $87.80 | — |
| AL | $69.17 | $86.69 |
| AR | $69.17 | $86.69 |
| AZ | $64.34 | $86.69 |
| CA | $70.74 | $86.69 |
| CO | $63.44 | $86.69 |
| CT | $69.39 | $86.69 |
| DC | $65.65 | $86.69 |
| DE | $65.65 | $86.69 |
| FL | $69.17 | $86.69 |
| GA | $69.17 | $86.69 |
| HI | $91.29 | — |
| IA | $65.29 | $86.69 |
| ID | $63.44 | $86.69 |
| IL | $72.10 | $86.69 |
| IN | $72.10 | $86.69 |
| KS | $65.29 | $86.69 |
| KY | $69.17 | $86.69 |
| LA | $69.17 | $86.69 |
| MA | $69.39 | $86.69 |
| MD | $65.65 | $86.69 |
| ME | $69.39 | $86.69 |
| MI | $72.10 | $86.69 |
| MN | $65.29 | $86.69 |
| MO | $65.29 | $86.69 |
| MS | $69.17 | $86.69 |
| MT | $63.44 | $86.69 |
| NC | $69.17 | $86.69 |
| ND | $65.29 | $86.69 |
| NE | $65.29 | $86.69 |
| NH | $69.39 | $86.69 |
| NJ | $65.65 | $86.69 |
| NM | $64.34 | $86.69 |
| NV | $70.74 | $86.69 |
| NY | $65.65 | $86.69 |
| OH | $72.10 | $86.69 |
| OK | $64.34 | $86.69 |
| OR | $70.74 | $86.69 |
| PA | $65.65 | $86.69 |
| PR | $96.35 | — |
| RI | $69.39 | $86.69 |
| SC | $69.17 | $86.69 |
| SD | $65.29 | $86.69 |
| TN | $69.17 | $86.69 |
| TX | $64.34 | $86.69 |
| UT | $63.44 | $86.69 |
| VA | $69.17 | $86.69 |
| VI | $86.49 | — |
| VT | $69.39 | $86.69 |
| WA | $70.74 | $86.69 |
| WI | $72.10 | $86.69 |
| WV | $69.17 | $86.69 |
| WY | $63.44 | $86.69 |
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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