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)
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
36DME – capped rental- Medicare coverage
DSpecial coverage instructions apply- BETOS category
D1EOther 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
- E0464 – Pressure support ventilator with volume control mode, may include pressure control mode, used with non-invasive interface (e.g., mask)
- E0465 – Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)
- E0466 – Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)
- 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
- E0468 – Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions
- E0469 – Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device
- E0470 – Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device)
- E0471 – Respiratory 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 continuous positive airway pressure device)
- E0480 – Percussor, electric or pneumatic, home model
- E0481 – Intrapulmonary percussive ventilation system and related accessories
- E0482 – Cough stimulating device, alternating positive and negative airway pressure
- E0483 – High frequency chest wall oscillation system, with full anterior and/or posterior thoracic region receiving simultaneous external oscillation, includes all accessories and supplies, each
- E0484 – Oscillatory positive expiratory pressure device, non-electric, any type, each
- E0485 – Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, prefabricated, includes fitting and adjustment
- E0486 – Oral device/appliance used to reduce upper airway collapsibility, adjustable or non-adjustable, custom fabricated, includes fitting and adjustment
- E0487 – Spirometer, electronic, includes all accessories
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.