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See a sample rate comparisonHCPCS E0459 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Chest wrap
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Oxygen Delivery Systems and Related Supplies |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for E0459 |
National average reimbursement for HCPCS E0459 by major payers:
$340.61
$283.96
$237.80
$525.58
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HCPCS E0459
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$638.10Published rateHospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$257.73Published ratePalmyra Park Hospital, Inc., Palmyra Medical Centers
$231.00Published ratePiedmont Newton Ekg Billing LLC
Piedmont Newton Hospital Inc
$75.48Published rateUjuka Iloabuchi
$25.28Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E0459 vs. Other Oxygen Delivery Systems and Related Supplies Codes
The HCPCS E0459 code is part of the Durable Medical Equipment services used for Oxygen Delivery Systems and Related Supplies. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS E0459 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| E0457-HCPCS | Moderate | Chest shell (cuirass) |
| E0459-HCPCS | Moderate | Chest wrap |
| E0462-HCPCS | High | Rocking bed with or without side rails |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0459. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0459 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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