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HCPCS E0560 · Level II · DME code

E0560: Humidifier, HCPCS Level II DME code

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: HCPCS Level II file: October 2026 (effective October 1, 2026); DMEPOS fee schedule: DME26-D (October 2026) (effective October 1, 2026); NCCI MUE tables: 2026 Q4 (effective October 1, 2026); NCCI PTP edits: v323r0 (2026 Q4) (effective October 1, 2026); OPPS Addendum B: October 2026 (effective October 1, 2026). Next CMS release: January 1, 2027 (quarterly update).

Key facts for E0560

Medicare payment
$179.06 to $210.66
DMEPOS non-rural state fees (NU)
Coverage code
D
special coverage instructions apply
DME supplier MUE
1
MAI 2
OPPS status
SI Y
Non-implantable DME
NCCI PTP pairs
0
practitioner file
LCDs and articles
0 / 0

TL;DR

E0560 is a Level II code from the E section (durable medical equipment), in use since 1986: "Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery". The October 2026 DMEPOS fee schedule (category IN, inexpensive and other routinely purchased items) sets E0560 at NU (purchased, new) $179.06 in CA, CO, GA and 7 more to $210.66 in AR, AZ, CT and 22 more (floor $179.06, ceiling $210.66); RR (rental) $20.98 in CO, ID, KY and 9 more to $24.68 in AR, AZ, CA and 22 more (floor $20.98, ceiling $24.68); UE (purchased, used) $134.31 in CA, CO, GA and 7 more to $158.01 in AR, AZ, CT and 22 more (floor $134.31, ceiling $158.01). CMS caps E0560 at practitioner 0 (MAI 3, CMS Policy); hospital outpatient 0 (MAI 3, CMS Policy); DME supplier 1 (MAI 2, Code Descriptor / CPT Instruction) units per day in the 2026 Q4 MUE tables. No current LCD or billing article lists E0560; its HCPCS coverage code is D (special coverage instructions apply). OPPS status indicator Y: Non-implantable DME. HCPCS record: BETOS D1E (other DME); pricing indicator 33; type of service A (used DME), P (lump-sum purchase of DME, prosthetics or orthotics), R (rental of DME). 4 other active codes open with "Humidifier"; related codes: E0562, E0550, E0561, E0555.

E0560 descriptor and code status

The October 2026 HCPCS Level II file describes E0560 as “Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery”. It sits in the E section (durable medical equipment), listed with the other E codes.

HCPCS file attributes of E0560
FieldValue
Short descriptorHumidifier supplemental w/ i
Added to HCPCS1986-01-01
Last actionN (no maintenance), effective 2005-07-01
Coverage codeD: special coverage instructions apply
Pricing indicator33: DMEPOS oxygen and oxygen equipment (floors and ceilings)
BETOS categoryD1E: other DME
Type of serviceA: used DME; P: lump-sum purchase of DME, prosthetics or orthotics; R: rental of DME

Medicare payment for E0560

The October 2026 DMEPOS fee schedule (category IN, inexpensive and other routinely purchased items) sets E0560 at NU (purchased, new) $179.06 in CA, CO, GA and 7 more to $210.66 in AR, AZ, CT and 22 more (floor $179.06, ceiling $210.66); RR (rental) $20.98 in CO, ID, KY and 9 more to $24.68 in AR, AZ, CA and 22 more (floor $20.98, ceiling $24.68); UE (purchased, used) $134.31 in CA, CO, GA and 7 more to $158.01 in AR, AZ, CT and 22 more (floor $134.31, ceiling $158.01). The amounts below are national figures from the October 2026 CMS files; the contractor applies the locality, rural or state adjustment and the beneficiary's cost sharing.

DMEPOS fee schedule (DME26-D)

Jurisdiction D (DME MAC), payment category IN (inexpensive and other routinely purchased items). Fees are set per state; AK, HI, PR and VI are not subject to the national ceiling and floor and are listed separately. A rural fee applies only in ZIP codes on the CMS rural ZIP list.

DMEPOS fees for E0560 by modifier
ModifierFloor / ceilingNon-rural state rangeRural rangeAK / HI / PR / VI
NU (purchased, new)$179.06 / $210.66$179.06 (CA, CO, GA…) to $210.66 (AR, AZ, CT…)—AK $148.36, HI $158.67, PR $225.28, VI $210.66
RR (rental)$20.98 / $24.68$20.98 (CO, ID, KY…) to $24.68 (AR, AZ, CA…)—AK $32.69, HI $34.97, PR $28.14, VI $24.68
UE (purchased, used)$134.31 / $158.01$134.31 (CA, CO, GA…) to $158.01 (AR, AZ, CT…)—AK $111.29, HI $119.00, PR $168.96, VI $158.01

Hospital outpatient (OPPS Addendum B)

Status indicator Y (Non-implantable DME), with no separate OPPS payment rate.

Medically Unlikely Edits for E0560

CMS caps E0560 at practitioner 0 (MAI 3, CMS Policy); hospital outpatient 0 (MAI 3, CMS Policy); DME supplier 1 (MAI 2, Code Descriptor / CPT Instruction) units per day in the 2026 Q4 MUE tables. The DME supplier MUE is a date-of-service policy edit: units above the limit deny even when split across lines, and appeals rarely succeed.

MUE values for E0560 by setting
SettingMUE (units/DOS)MAICMS rationale
Practitioner services03 Date of Service Edit: ClinicalCMS Policy
Facility outpatient hospital03 Date of Service Edit: ClinicalCMS Policy
DME supplier12 Date of Service Edit: PolicyCode Descriptor / CPT Instruction

The MUE lookup for E0560 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

No active practitioner PTP pair lists E0560 in v323r0.

E0560 is neither an add-on code nor a designated primary code in the 2026 Q4 NCCI add-on edit file.

Pair counts show exposure, not the answer for one claim. Check E0560 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for E0560

No current LCD or billing and coding article lists E0560. The HCPCS coverage code D means special coverage instructions apply, and any National Coverage Determination for the service still applies.

Denials to expect on E0560

CARC 50 · N115

the service is not reasonable and necessary for the diagnosis on the claim

CARC 151 · N362

units of E0560 exceed the DME supplier MUE of 1 per date of service

CARC 4

the NU, RR, UE payment modifier is missing or does not match the item

CARC 16

the claim lacks information needed to adjudicate the line, such as an order, NPI or required modifier

Where QuickIntell fits for E0560 claims

QuickAuth coordinates the requirement checks and documentation that DME claims for E0560 depend on, with human review of each case, and QuickRCM carries claim readiness and the CARC 50, 151 and modifier denials these items draw.

See QuickAuth for requirement checksSee QuickRCM for denial follow-upBook a meeting

Frequently asked questions: HCPCS E0560

What does HCPCS code E0560 describe?

"Humidifier, durable for supplemental humidification during ippb treatment or oxygen delivery" (short descriptor "Humidifier supplemental w/ i"), in the E section (durable medical equipment). Added 1986-01-01; last action N (no maintenance) effective 2005-07-01.

Is E0560 a CPT code?

It is not. E0560 belongs to the E section (durable medical equipment) of HCPCS Level II, the CMS code set, not to AMA CPT.

What does Medicare pay for E0560?

The October 2026 DMEPOS fee schedule (category IN, inexpensive and other routinely purchased items) sets E0560 at NU (purchased, new) $179.06 in CA, CO, GA and 7 more to $210.66 in AR, AZ, CT and 22 more (floor $179.06, ceiling $210.66); RR (rental) $20.98 in CO, ID, KY and 9 more to $24.68 in AR, AZ, CA and 22 more (floor $20.98, ceiling $24.68); UE (purchased, used) $134.31 in CA, CO, GA and 7 more to $158.01 in AR, AZ, CT and 22 more (floor $134.31, ceiling $158.01).

How many units of E0560 can be billed per day?

CMS caps E0560 at practitioner 0 (MAI 3, CMS Policy); hospital outpatient 0 (MAI 3, CMS Policy); DME supplier 1 (MAI 2, Code Descriptor / CPT Instruction) units per day in the 2026 Q4 MUE tables. For the DME supplier MUE (MAI 2), units above 1 deny for the whole day as a policy limit; denials arrive as CARC 151.

Does Medicare cover E0560?

No current LCD or billing article lists E0560; its HCPCS coverage code is D (special coverage instructions apply).

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

This page is an operational reference compiled from CMS publications: the HCPCS Level II file, the physician, DMEPOS and clinical laboratory fee schedules, OPPS and ASC addenda, NCCI MUE, PTP and add-on edit tables and the Medicare Coverage Database. Amounts are Medicare national figures before locality and state adjustment; Medicaid and commercial payers set their own. CPT codes are shown as numbers only; CPT descriptors are copyright AMA. Nothing here is legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.