E0575 — Nebulizer, ultrasonic, large volume
HCPCS Level II E-code · short descriptor: “Nebulizer ultrasonic”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Special coverage instructions apply
- 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.
E0575 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $124.51 to $159.48 depending on state and rural status.
Former-CBA payment limits: ceiling $146.48 · floor $124.51
| State | Non-rural | Rural |
|---|---|---|
| AK | $149.13 | — |
| AL | $146.48 | — |
| AR | $146.48 | — |
| AZ | $126.56 | — |
| CA | $146.48 | — |
| CO | $130.00 | — |
| CT | $146.48 | — |
| DC | $124.51 | — |
| DE | $141.30 | — |
| FL | $144.22 | — |
| GA | $143.61 | — |
| HI | $159.48 | — |
| IA | $124.51 | — |
| ID | $142.48 | — |
| IL | $128.63 | — |
| IN | $146.48 | — |
| KS | $124.51 | — |
| KY | $146.48 | — |
| LA | $124.51 | — |
| MA | $146.48 | — |
| MD | $129.80 | — |
| ME | $146.48 | — |
| MI | $146.48 | — |
| MN | $132.90 | — |
| MO | $146.48 | — |
| MS | $124.51 | — |
| MT | $124.51 | — |
| NC | $124.51 | — |
| ND | $146.48 | — |
| NE | $124.51 | — |
| NH | $146.48 | — |
| NJ | $146.48 | — |
| NM | $139.86 | — |
| NV | $137.75 | — |
| NY | $146.48 | — |
| OH | $146.48 | — |
| OK | $146.48 | — |
| OR | $142.49 | — |
| PA | $134.86 | — |
| PR | $146.96 | — |
| RI | $146.48 | — |
| SC | $146.48 | — |
| SD | $146.48 | — |
| TN | $146.48 | — |
| TX | $146.48 | — |
| UT | $142.18 | — |
| VA | $124.51 | — |
| VI | $146.48 | — |
| VT | $146.48 | — |
| WA | $146.48 | — |
| WI | $146.48 | — |
| WV | $146.48 | — |
| WY | $125.31 | — |
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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