E0472 – 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)

HCPCS Level II code · E codes: Durable Medical Equipment (DME)

Active code Special coverage instructions apply

HCPCS codeE0472
Long description
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)
Short description
Rad w backup invasive intrfc
Pricing indicator
36 DME – capped rental
Medicare coverage
D Special coverage instructions apply
BETOS category
D1E Other DME
Added
January 1, 2004
Last change
April 1, 2006 – No change

Frequently asked questions

What is HCPCS code E0472?

E0472 is a HCPCS Level II 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).

Does Medicare cover E0472?

The HCPCS file lists coverage code D: Special coverage instructions apply. Coverage and payment also depend on local coverage determinations and the patient’s plan.

Nearby E codes

Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.