E0472 HCPCS Level II code: Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist…
E0472 is the HCPCS code for “Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway…” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
E0472Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pressure device)
Short description: Rad w backup invasive intrfc
HCPCS · United States
Medicare details
The indicators CMS publishes with E0472 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Special coverage instructions apply
- Medicare pricing
- DMEPOS fee schedule – Capped rental DME (price subject to floors and ceilings)
- Type of service
- Rental of DME
- BETOS category
- Other DME
- Added
- Jan 1, 2004
Where E0472 sits
- 1E codesDurable medical equipment
- 2Active code E0472Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pressure device)
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code E0472 mean?
E0472 is the HCPCS code for “Respiratory assist device, bi-level pressure capability, with backup rate feature, used with invasive interface, e.g., tracheostomy tube (intermittent assist device with continuous positive airway pressure device)” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover E0472?
CMS lists E0472’s Medicare coverage as “Special coverage instructions apply” and its pricing as “DMEPOS fee schedule – Capped rental DME (price subject to floors and ceilings)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside E0472
All E codesE0466Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)E0467Home ventilator, multi-function respiratory device, also performs any or all of the additional functions of oxygen concentration, drug nebulization, aspiration, and cough…E0468Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functionsE0469Lung expansion airway clearance, continuous high frequency oscillation, and nebulization deviceE0470Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with…E0471Respiratory assist device, bi-level pressure capability, with back-up rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with…E0480Percussor, electric or pneumatic, home modelE0481Intrapulmonary percussive ventilation system and related accessoriesE0482Cough stimulating device, alternating positive and negative airway pressureE0483High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and…E0484Oscillatory positive expiratory pressure device, non-electric, any type, eachE0485Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, prefabricated, includes fitting and adjustment