Summary & Overview
HCPCS E0484: Oscillatory Positive Expiratory Pressure Device, Non-Electric
HCPCS Level II code E0484 represents a non-electric oscillatory positive expiratory pressure (OPEP) device supplied as durable medical equipment to assist airway clearance. Such devices are clinically relevant across pulmonary care for conditions that involve retained secretions and are commonly used in home and outpatient settings. Nationally, availability and coverage policies for non-electric OPEP devices influence patient access to noninvasive airway-clearance therapies and drive utilization within respiratory care programs.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of coverage patterns and typical sites of service, benchmarking information, and clinical context for use of E0484. The publication summarizes how payers approach DME supplies of OPEP devices, common billing considerations, and where national policy guidance and Medicare rules intersect with commercial payer practices.
This report is intended to inform billing staff, DME suppliers, respiratory therapists, and policy analysts about the clinical purpose of E0484, expected service settings, and the payer landscape influencing access. Data not available in the input for specific payer payment rates, utilization metrics, and associated diagnosis coding is noted where applicable.
Billing Code Overview
HCPCS Level II code E0484 describes an oscillatory positive expiratory pressure device, non-electric, any type, each. This device is used to help clear airway secretions by combining positive expiratory pressure with oscillations during exhalation.
Service type: Durable medical equipment
Typical site of service: Home use or outpatient setting where durable medical equipment is supplied for respiratory therapy
Data not available in the input for associated taxonomies, ICD-10 diagnoses, and related codes.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult with chronic bronchiectasis or cystic fibrosis experiencing retained airway secretions and recurrent sputum retention despite optimized medical therapy. The pulmonologist or respiratory therapist prescribes an oscillatory positive expiratory pressure device for airway clearance to be used at home several times daily. The clinical workflow: outpatient or inpatient evaluation documents diagnosis and need for a durable medical equipment device; the clinician selects E0484 for a non-electric oscillatory PEP device; an order and DME certificate are completed with clinical rationale, frequency of use, and expected benefit; the device is dispensed by a DME supplier with training provided by a respiratory therapist on assembly, technique, cleaning, and follow-up; follow-up visits assess symptom relief, sputum production, exacerbation frequency, and device adherence, and documentation supports medical necessity for coverage and continued use.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
26 | Professional component | Use when billing only the professional component for a related service (e.g., respiratory therapy professional service) if applicable |
52 |