E0574 — Ultrasonic/electronic aerosol generator with small volume nebulizer
HCPCS Level II E-code · short descriptor: “Ultrasonic generator w svneb”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Carrier judgment — coverage decided by the DME MAC
- DMEPOS payment category
- Capped rental
- 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.
E0574 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $48.76 to $67.63 depending on state and rural status.
Former-CBA payment limits: ceiling $57.36 · floor $48.76
| State | Non-rural | Rural |
|---|---|---|
| AK | $65.59 | — |
| AL | $56.50 | — |
| AR | $57.36 | — |
| AZ | $53.56 | — |
| CA | $54.97 | — |
| CO | $57.36 | — |
| CT | $57.36 | — |
| DC | $57.36 | — |
| DE | $56.33 | — |
| FL | $52.80 | — |
| GA | $55.99 | — |
| HI | $54.27 | — |
| IA | $57.36 | — |
| ID | $57.36 | — |
| IL | $57.36 | — |
| IN | $57.36 | — |
| KS | $57.36 | — |
| KY | $57.36 | — |
| LA | $56.64 | — |
| MA | $57.36 | — |
| MD | $54.46 | — |
| ME | $57.36 | — |
| MI | $55.18 | — |
| MN | $57.36 | — |
| MO | $57.36 | — |
| MS | $51.65 | — |
| MT | $52.05 | — |
| NC | $57.36 | — |
| ND | $51.95 | — |
| NE | $57.36 | — |
| NH | $57.36 | — |
| NJ | $54.09 | — |
| NM | $51.03 | — |
| NV | $54.89 | — |
| NY | $55.98 | — |
| OH | $57.36 | — |
| OK | $57.36 | — |
| OR | $57.36 | — |
| PA | $55.29 | — |
| PR | $67.63 | — |
| RI | $48.76 | — |
| SC | $55.55 | — |
| SD | $56.56 | — |
| TN | $54.06 | — |
| TX | $57.36 | — |
| UT | $57.36 | — |
| VA | $54.48 | — |
| VI | $57.36 | — |
| VT | $57.36 | — |
| WA | $57.36 | — |
| WI | $57.36 | — |
| WV | $55.73 | — |
| WY | $56.42 | — |
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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