E0605 — Vaporizer, room type
HCPCS Level II E-code · short descriptor: “Vaporizer room type”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Special coverage instructions apply
- DMEPOS payment category
- Inexpensive or routinely purchased
- Prior authorization
- Not on Medicare required-PA list
- Face-to-face & WOPD
- Not on the required list
- MUE unit limit
- 1
- Status
- Active (HCPCS Level II October 2026)
Prior authorization
Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-25; 8 more from 2026-10-28; sources: CMS list updated 2026-01-13, CMS-6109-N (91 FR 47972)). 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 (CMS Required F2F & WOPD List — 83 items in force on 2026-10-25; 22 more from 2026-10-28; sources: CMS list effective 2026-04-13 (91 FR 1250), CMS-6109-N (91 FR 47972)). The standard written order must reach the supplier before claim submission.
Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.
E0605 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $22.44 to $107.68 depending on state and rural status.
Former-CBA payment limits: ceiling $37.64 · floor $31.99
| State | Non-rural | Rural |
|---|---|---|
| AK | $100.73 | — |
| AL | $31.99 | — |
| AR | $32.94 | — |
| AZ | $35.72 | — |
| CA | $37.64 | — |
| CO | $37.64 | — |
| CT | $37.64 | — |
| DC | $37.64 | — |
| DE | $37.64 | — |
| FL | $36.99 | — |
| GA | $31.99 | — |
| HI | $107.68 | — |
| IA | $37.64 | — |
| ID | $37.64 | — |
| IL | $37.64 | — |
| IN | $37.64 | — |
| KS | $37.52 | — |
| KY | $37.64 | — |
| LA | $33.88 | — |
| MA | $37.64 | — |
| MD | $37.64 | — |
| ME | $37.64 | — |
| MI | $37.64 | — |
| MN | $37.64 | — |
| MO | $37.64 | — |
| MS | $37.64 | — |
| MT | $37.64 | — |
| NC | $31.99 | — |
| ND | $31.99 | — |
| NE | $37.64 | — |
| NH | $37.64 | — |
| NJ | $37.64 | — |
| NM | $31.99 | — |
| NV | $35.72 | — |
| NY | $37.64 | — |
| OH | $35.68 | — |
| OK | $31.99 | — |
| OR | $37.64 | — |
| PA | $37.64 | — |
| PR | $22.44 | — |
| RI | $37.04 | — |
| SC | $36.99 | — |
| SD | $31.99 | — |
| TN | $37.64 | — |
| TX | $37.64 | — |
| UT | $37.64 | — |
| VA | $37.64 | — |
| VI | $37.64 | — |
| VT | $37.64 | — |
| WA | $37.64 | — |
| WI | $37.64 | — |
| WV | $35.68 | — |
| WY | $31.99 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $2.79 to $55.77 depending on state and rural status.
Former-CBA payment limits: ceiling $4.39 · floor $3.73
| State | Non-rural | Rural |
|---|---|---|
| AK | $52.15 | — |
| AL | $3.73 | — |
| AR | $3.73 | — |
| AZ | $4.39 | — |
| CA | $4.39 | — |
| CO | $4.39 | — |
| CT | $4.39 | — |
| DC | $4.39 | — |
| DE | $4.39 | — |
| FL | $4.37 | — |
| GA | $3.73 | — |
| HI | $55.77 | — |
| IA | $4.39 | — |
| ID | $4.11 | — |
| IL | $4.39 | — |
| IN | $4.39 | — |
| KS | $4.39 | — |
| KY | $4.39 | — |
| LA | $3.73 | — |
| MA | $3.79 | — |
| MD | $4.39 | — |
| ME | $3.79 | — |
| MI | $4.39 | — |
| MN | $3.78 | — |
| MO | $4.39 | — |
| MS | $4.37 | — |
| MT | $4.39 | — |
| NC | $3.73 | — |
| ND | $3.73 | — |
| NE | $4.39 | — |
| NH | $3.78 | — |
| NJ | $4.39 | — |
| NM | $3.73 | — |
| NV | $4.39 | — |
| NY | $4.39 | — |
| OH | $4.39 | — |
| OK | $3.73 | — |
| OR | $4.39 | — |
| PA | $3.78 | — |
| PR | $2.79 | — |
| RI | $3.74 | — |
| SC | $3.74 | — |
| SD | $3.73 | — |
| TN | $4.37 | — |
| TX | $4.39 | — |
| UT | $4.27 | — |
| VA | $4.39 | — |
| VI | $4.39 | — |
| VT | $3.78 | — |
| WA | $4.39 | — |
| WI | $4.39 | — |
| WV | $4.39 | — |
| WY | $3.73 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $16.84 to $80.76 depending on state and rural status.
Former-CBA payment limits: ceiling $31.04 · floor $26.38
| State | Non-rural | Rural |
|---|---|---|
| AK | $75.53 | — |
| AL | $26.38 | — |
| AR | $26.38 | — |
| AZ | $26.81 | — |
| CA | $31.04 | — |
| CO | $31.04 | — |
| CT | $31.04 | — |
| DC | $31.04 | — |
| DE | $31.04 | — |
| FL | $27.74 | — |
| GA | $26.38 | — |
| HI | $80.76 | — |
| IA | $31.04 | — |
| ID | $31.04 | — |
| IL | $31.04 | — |
| IN | $31.04 | — |
| KS | $28.13 | — |
| KY | $31.04 | — |
| LA | $26.38 | — |
| MA | $28.28 | — |
| MD | $31.04 | — |
| ME | $28.28 | — |
| MI | $31.04 | — |
| MN | $28.28 | — |
| MO | $31.04 | — |
| MS | $31.04 | — |
| MT | $31.04 | — |
| NC | $26.38 | — |
| ND | $26.38 | — |
| NE | $31.04 | — |
| NH | $28.28 | — |
| NJ | $31.04 | — |
| NM | $26.38 | — |
| NV | $26.81 | — |
| NY | $31.04 | — |
| OH | $26.73 | — |
| OK | $26.38 | — |
| OR | $31.04 | — |
| PA | $28.28 | — |
| PR | $16.84 | — |
| RI | $27.82 | — |
| SC | $27.74 | — |
| SD | $26.38 | — |
| TN | $31.04 | — |
| TX | $31.04 | — |
| UT | $31.04 | — |
| VA | $31.04 | — |
| VI | $31.04 | — |
| VT | $28.28 | — |
| WA | $31.04 | — |
| WI | $31.04 | — |
| WV | $26.73 | — |
| WY | $26.38 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0605 at 1 unit per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Code Descriptor / CPT Instruction.
Common denial codes to watch
Related E-codes
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