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    v1.0.31
    OpenPayerBilling CodesDurable Medical EquipmentHCPCS hcpcs-e0467-home-ventilator-multi-function-respiratory-device
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    HCPCS Level II E0467: Home Ventilator, Multi-Function Respiratory Device

    HCPCS Level II code E0467 describes a home ventilator that functions as a multi-function respiratory device and also performs any or all additional functions of oxygen concentration, drug nebulization, aspiration, and cough stimulation; the service type is durable medical equipment for long-term respiratory support and the typical site of service is the patient’s home or other non-acute residential setting where ventilatory and adjunct respiratory therapies are delivered.

    For related coverage guidance, see recent payer policy updates: Sleep Position Trainer, Hospital Beds Corporate Medical Policy, Continuous Passive Motion Devices with Remote Monitoring or Adaptive Capabilities.

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    Table of contents

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    Clinical & Coding Specifications

    Clinical Context

    A 68-year-old patient with advanced chronic obstructive pulmonary disease (COPD) and chronic respiratory failure is discharged from an inpatient stay requiring ongoing ventilatory support at home. The patient requires a multi-function home ventilator that provides respiratory support and additional functions including oxygen concentration, drug nebulization, suction/aspiration, and mechanical cough stimulation. The clinical workflow begins with a pulmonary or critical care physician documenting medical necessity for home ventilatory support and prescribing durable medical equipment E0467. A respiratory therapist conducts a home assessment, sets up the device, provides caregiver and patient education on operation, infection control, and alarm response, and documents settings and training. Follow-up includes home visits or telehealth checks for device performance, supplies replenishment, and adjustment of ventilator settings as the patient’s clinical status changes. Durable medical equipment suppliers coordinate billing, delivery, and maintenance; orders include necessary accessories, tubing, masks or tracheostomy interfaces, nebulizer kits, suction catheters, and humidification supplies included under E0467. Typical site of service is the patient’s residence (home) and occasionally a long-term care facility when the device is used for an ambulatory-living patient in that setting.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    94664Demonstration and/or evaluation of patient use of an inhalation device (eg, nebulizer, metered dose inhaler)Performed during home setup when the ventilator’s nebulization function is used and the patient/caregiver require training.
    94002Ventilation assist and management; initiation of pressure or volume preset ventilators for mechanical ventilation, inpatient/acute hospital (new)Relevant in the recent inpatient initiation prior to transition to home ventilator E0467 (inpatient code for initiation).
    94003Ventilation assist and management; subsequent hospital care of ventilator managementUsed for ongoing inpatient ventilator management before discharge to home using E0467.
    94620Pulmonary stress testing (spirometry, bronchodilator response)May be performed in outpatient evaluation to assess respiratory status during the planning for home ventilator support.
    99406Smoking and tobacco use cessation counseling visit (intermediate)Counseling often provided as part of comprehensive respiratory care leading to long-term ventilatory support plans.
    G0439Annual wellness visit, subsequent (Medicare G-code)Part of chronic care management visits for Medicare patients on home ventilators; used in broader care coordination workflows.

    Related Modifiers

    7 rows

    ModifierDescriptionWhen to Use
    22Modifier –22 (Increased Procedural Services) is used when a reported procedure is substantially more extensive than normally required. The CPT Manual and CMS state it may be appended only when the…- When to use: Append modifier -22 to a procedural CPT code when the service performed is substantially more extensive than the usual service described by that code — i.e., the procedure required…
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
    62Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
    78CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
    80CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…
    82Modifier 82 is appended to a surgical CPT code to indicate that an attending physician acted as an assistant because a qualified resident surgeon was unavailable. In teaching hospitals it documents…- When to use: Append modifier 82 in teaching-hospital settings to indicate a physician served as an assistant surgeon because a qualified resident surgeon was unavailable (includes situations where…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    207Q00000X
    261QM0801X
    207ZN0500X
    3104A0625X
    2472E0500X
    246QC2700X
    311Z00000X
    364SA2200X

    Related Payer Policy Updates

    Specialty: Durable Medical Equipment (DME)1 / 3

    10 rows

    PolicyPayerEffective Date
    Sleep Position Trainerregence2027-01-01
    Hospital Beds Corporate Medical Policybcbsvermont2027-01-01
    Continuous Passive Motion Devices with Remote Monitoring or Adaptive CapabilitiesBlue Cross Blue Shield - Rhode Island2026-12-01
    Bone Growth StimulatorsMass General Brigham Health Plan2026-12-01
    Prior Authorization for Durable Medical Equipment (DME)Blue Cross Blue Shield - Rhode Island2026-12-01
    Patient Liftsuniverahealthcare2026-11-16
    Tonic Motor Activation (TOMAC) for Restless Legs Syndromeregence2026-11-01
    Functional Neuromuscular Electrical Stimulationregence2026-11-01
    Noninvasive Ventilators in the Home Settingregence2026-11-01
    Medical Car SeatsCareSource2026-11-01

    Related Codes

    HCPCS-E0100-CANE-DURABLE-MEDICAL-EQUIPMENT-AMBULATION

    HCPCS E0100: Cane, Adjustable or Fixed, With Tip

    HCPCS-E0105-CANE-QUAD-THREE-PRONG-MOBILITY-AID

    HCPCS Level II E0105: Cane, Quad or Three-Prong, Includes Tips

    HCPCS-E0110-FOREARM-CRUTCHES-PAIR-DME-MOBILITY

    HCPCS Level II E0110: Forearm Crutches, Pair, Complete with Tips and Handgrips

    HCPCS-E0111-CRUTCH-FOREARM-DURABLE-MEDICAL-EQUIPMENT

    HCPCS Level II E0111: Crutch, Forearm, With Tip and Handgrips

    HCPCS-E0112-UNDERARM-WOOD-CRUTCHES-PAIR

    HCPCS Level II E0112: Underarm Wooden Crutches, Pair

    HCPCS-E0113-CRUTCH-UNDERARM-WOOD-ADJUSTABLE-FIXED-WITH-PAD-TIP-HANDGRIP

    HCPCS Level II E0113: Crutch Underarm, Wood, Adjustable or Fixed

    HCPCS-E0114-UNDERARM-CRUTCHES-PAIR-ADJUSTABLE-FIXED

    HCPCS Level II E0114: Underarm (Axillary) Crutches, Adjustable or Fixed, Pair

    HCPCS-E0116-UNDERARM-CRUTCH-NON-WOOD-ADJUSTABLE-FIXED

    HCPCS E0116: Underarm Crutch, Non-Wood, Adjustable/Fixed with Pad

    HCPCS-E0117-ARTICULATING-SPRING-ASSISTED-UNDERARM-CRUTCH

    HCPCS Level II E0117: Crutch, Underarm, Articulating, Spring-Assisted

    HCPCS-E0118-LOWER-LEG-PLATFORM-CRUTCH-SUBSTITUTE

    HCPCS E0118: Crutch Substitute, Lower Leg Platform

    Showing 1–10 of 670

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    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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