Durable Medical Equipment Coding System (DMECS)


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Fee Schedule Category: Frequently Serviced Items
Short Description for E0467: Home vent multi-function
Long Description for E0467: HOME VENTILATOR, MULTI-FUNCTION RESPIRATORY DEVICE, ALSO PERFORMS ANY OR ALL OF THE ADDITIONAL FUNCTIONS OF OXYGEN CONCENTRATION, DRUG NEBULIZATION, ASPIRATION, AND COUGH STIMULATION, INCLUDES ALL ACCESSORIES, COMPONENTS AND SUPPLIES FOR ALL FUNCTIONS

Rural ZIP Code Checker


Beneficiary State of Residence Modifier Modifier Rural Fee Non-Rural Fee Effective From Effective To
AZ RR $1,595.65 $1,568.61 01/01/2026 03/31/2026
AL RR $1,394.21 $1,367.92 01/01/2026 03/31/2026
AK RR $1,431.35 01/01/2026 03/31/2026
AR RR $1,588.29 $1,559.77 01/01/2026 03/31/2026
CA RR $1,412.45 $1,381.78 01/01/2026 03/31/2026
CT RR $1,620.27 $1,593.08 01/01/2026 03/31/2026
IA RR $1,529.83 $1,503.95 01/01/2026 03/31/2026
GA RR $1,610.51 $1,581.98 01/01/2026 03/31/2026
DE RR $1,610.82 $1,581.06 01/01/2026 03/31/2026
CO RR $1,395.26 $1,369.93 01/01/2026 03/31/2026
FL RR $1,606.71 $1,578.68 01/01/2026 03/31/2026
DC RR $1,476.57 $1,446.82 01/01/2026 03/31/2026
HI RR $1,507.36 01/01/2026 03/31/2026
KS RR $1,548.73 $1,522.85 01/01/2026 03/31/2026
KY RR $1,599.32 $1,573.04 01/01/2026 03/31/2026
MA RR $1,615.10 $1,589.38 01/01/2026 03/31/2026
IL RR $1,620.72 $1,590.88 01/01/2026 03/31/2026
ID RR $1,404.77 $1,379.44 01/01/2026 03/31/2026
IN RR $1,395.26 $1,368.33 01/01/2026 03/31/2026
LA RR $1,431.06 $1,404.78 01/01/2026 03/31/2026
MI RR $1,618.49 $1,588.64 01/01/2026 03/31/2026
MS RR $1,389.96 $1,363.67 01/01/2026 03/31/2026
MD RR $1,405.08 $1,375.32 01/01/2026 03/31/2026
NC RR $1,599.32 $1,573.04 01/01/2026 03/31/2026
MN RR $1,599.32 $1,572.57 01/01/2026 03/31/2026
MO RR $1,508.75 $1,482.86 01/01/2026 03/31/2026
MT RR $1,434.94 $1,408.32 01/01/2026 03/31/2026
ME RR $1,515.81 $1,490.08 01/01/2026 03/31/2026
NH RR $1,608.01 $1,582.29 01/01/2026 03/31/2026
NM RR $1,544.40 $1,517.35 01/01/2026 03/31/2026
NV RR $1,596.79 $1,568.99 01/01/2026 03/31/2026
ND RR $1,594.23 $1,568.35 01/01/2026 03/31/2026
NJ RR $1,617.57 $1,587.82 01/01/2026 03/31/2026
NY RR $1,605.44 $1,578.55 01/01/2026 03/31/2026
NE RR $1,553.66 $1,527.77 01/01/2026 03/31/2026
SD RR $1,598.34 $1,572.45 01/01/2026 03/31/2026
RI RR $1,604.38 $1,576.95 01/01/2026 03/31/2026
OK RR $1,612.03 $1,581.99 01/01/2026 03/31/2026
OR RR $1,572.15 $1,544.35 01/01/2026 03/31/2026
PA RR $1,613.00 $1,583.25 01/01/2026 03/31/2026
OH RR $1,618.12 $1,588.28 01/01/2026 03/31/2026
PR RR $2,497.29 01/01/2026 03/31/2026
SC RR $1,393.38 $1,367.09 01/01/2026 03/31/2026
VT RR $1,441.34 $1,415.62 01/01/2026 03/31/2026
WA RR $1,397.59 $1,369.79 01/01/2026 03/31/2026
VI RR $1,606.99 01/01/2026 03/31/2026
TN RR $1,596.12 $1,569.85 01/01/2026 03/31/2026
UT RR $1,488.23 $1,462.90 01/01/2026 03/31/2026
VA RR $1,607.72 $1,579.19 01/01/2026 03/31/2026
TX RR $1,599.32 $1,572.28 01/01/2026 03/31/2026
WV RR $1,618.58 $1,590.06 01/01/2026 03/31/2026
WI RR $1,424.63 $1,394.79 01/01/2026 03/31/2026
WY RR $1,598.18 $1,572.84 01/01/2026 03/31/2026
Notes:
  1. PDAC provides the CMS quarterly fee schedule amounts directly from the CMS website. If CMS updates the fee schedule within a quarter, DMECS will display the most current fee schedule.
  2. A blank cell in the Rural Fee column designates the Rural Fee is the same as the Non-Rural Fee.
  3. This HCPCS code may be subject to a single payment amount (SPA) under the Medicare DMEPOS Competitive Bidding Program. For information on when the SPA applies, specific rates for the SPA, please check the website for the Competitive Bidding Implementation Contractor (CBIC) at https://www.dmecompetitivebid.com.
  4. This HCPCS code may be subject to an adjusted fee schedule amount in accordance with regulations in CFR 414.210(g). For information on when the adjusted fee schedule applies and specific HCPCS code rates, please check the former CBA ZIP Code File and Former CBA Fee Schedule File on CMS's website at DMEPOS Fee Schedule Files | CMS.