E0601 — Continuous positive airway pressure (cpap) device
HCPCS Level II E-code · short descriptor: “Cont airway pressure device”
- 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.
E0601 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $50.04 to $100.22 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $93.44 | — |
| AL | $51.94 | $97.02 |
| AR | $51.94 | $86.69 |
| AZ | $50.91 | $97.02 |
| CA | $50.44 | $93.04 |
| CO | $50.90 | $88.53 |
| CT | $50.89 | $91.19 |
| DC | $50.04 | $94.64 |
| DE | $50.04 | $92.32 |
| FL | $51.94 | $86.69 |
| GA | $51.94 | $97.02 |
| HI | $97.97 | — |
| IA | $50.70 | $97.02 |
| ID | $50.90 | $97.02 |
| IL | $52.65 | $97.02 |
| IN | $52.65 | $97.02 |
| KS | $50.70 | $97.02 |
| KY | $51.94 | $96.84 |
| LA | $51.94 | $86.69 |
| MA | $50.89 | $87.95 |
| MD | $50.04 | $97.02 |
| ME | $50.89 | $89.69 |
| MI | $52.65 | $89.77 |
| MN | $50.70 | $87.90 |
| MO | $50.70 | $97.02 |
| MS | $51.94 | $90.04 |
| MT | $50.90 | $86.69 |
| NC | $51.94 | $97.02 |
| ND | $50.70 | $95.80 |
| NE | $50.70 | $97.02 |
| NH | $50.89 | $87.44 |
| NJ | $50.04 | $89.86 |
| NM | $50.91 | $97.02 |
| NV | $50.44 | $97.02 |
| NY | $50.04 | $97.02 |
| OH | $52.65 | $97.02 |
| OK | $50.91 | $97.02 |
| OR | $50.44 | $97.02 |
| PA | $50.04 | $91.18 |
| PR | $100.22 | — |
| RI | $50.89 | $97.02 |
| SC | $51.94 | $97.02 |
| SD | $50.70 | $97.02 |
| TN | $51.94 | $97.02 |
| TX | $50.91 | $91.52 |
| UT | $50.90 | $97.02 |
| VA | $51.94 | $91.49 |
| VI | $96.75 | — |
| VT | $50.89 | $87.74 |
| WA | $50.44 | $97.02 |
| WI | $52.65 | $94.05 |
| WV | $51.94 | $95.02 |
| WY | $50.90 | $97.02 |
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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