E0585 — Nebulizer, with compressor and heater
HCPCS Level II E-code · short descriptor: “Nebulizer w/ compressor & he”
- 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.
E0585 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $32.06 to $60.76 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $58.07 | — |
| AL | $37.20 | $40.69 |
| AR | $37.20 | $44.44 |
| AZ | $32.17 | $40.69 |
| CA | $34.59 | $44.44 |
| CO | $35.71 | $44.44 |
| CT | $35.39 | $44.44 |
| DC | $35.30 | $44.44 |
| DE | $35.30 | $44.44 |
| FL | $37.20 | $43.57 |
| GA | $37.20 | $40.69 |
| HI | $60.76 | — |
| IA | $32.06 | $44.44 |
| ID | $35.71 | $40.69 |
| IL | $38.50 | $40.69 |
| IN | $38.50 | $44.44 |
| KS | $32.06 | $40.69 |
| KY | $37.20 | $44.44 |
| LA | $37.20 | $44.44 |
| MA | $35.39 | $40.69 |
| MD | $35.30 | $44.44 |
| ME | $35.39 | $40.69 |
| MI | $38.50 | $40.69 |
| MN | $32.06 | $44.44 |
| MO | $32.06 | $40.69 |
| MS | $37.20 | $40.69 |
| MT | $35.71 | $44.44 |
| NC | $37.20 | $40.69 |
| ND | $32.06 | $40.69 |
| NE | $32.06 | $40.69 |
| NH | $35.39 | $40.69 |
| NJ | $35.30 | $44.44 |
| NM | $32.17 | $41.07 |
| NV | $34.59 | $40.69 |
| NY | $35.30 | $44.44 |
| OH | $38.50 | $44.44 |
| OK | $32.17 | $44.44 |
| OR | $34.59 | $44.44 |
| PA | $35.30 | $44.44 |
| PR | $54.09 | — |
| RI | $35.39 | $44.44 |
| SC | $37.20 | $44.44 |
| SD | $32.06 | $40.69 |
| TN | $37.20 | $42.23 |
| TX | $32.17 | $44.44 |
| UT | $35.71 | $40.69 |
| VA | $37.20 | $44.44 |
| VI | $44.44 | — |
| VT | $35.39 | $40.69 |
| WA | $34.59 | $40.69 |
| WI | $38.50 | $44.44 |
| WV | $37.20 | $44.44 |
| WY | $35.71 | $40.69 |
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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