MyMedi-AI

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
Face-to-face & WOPD
Not on the required 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.

Order readiness — what the written order must contain

Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):

  • Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
  • General description of the item (42 CFR 410.38(d)(1)(i)(B))
  • Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
  • Order date (42 CFR 410.38(d)(1)(i)(D))
  • Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
  • Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))

Not on the F2F/WOPD list (April 13, 2026 update — 83 items). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

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.

StateNon-ruralRural
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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