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See a sample rate comparisonHCPCS E0469 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Oxygen Delivery Systems and Related Supplies |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for E0469 |
National average reimbursement for HCPCS E0469 by major payers:
$16,273.85
$10,162.03
$N/A
$20,178.88
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HCPCS E0469
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$20,762.66Published rateDonalsonville Hospital Inc
$12,034.57Published rateHouston Hospitals Inc, Houston Medical Center
Houston Hospitals Inc
$9,658.59Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$5,757.35Published rateKamran Rajaee
$899.51Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E0469 vs. Other Oxygen Delivery Systems and Related Supplies Codes
The HCPCS E0469 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 E0469 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 |
|---|---|---|
| E0469-HCPCS | High | Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0469. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0469 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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