HCPCS E0470 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Durable Medical Equipment • Oxygen Delivery Systems and Related Supplies |
| Complexity Level | Moderate |
National average reimbursement for HCPCS E0470 by major payers:
$724.89
$1,201.30
$806.59
$1,572.40
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS E0470 | ||||||
United | E0470 | $86.51 | 1508098740 - MORGAN JOHNSON | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | IL | Adult Health Nurse Practitioner (363LA2200X) |
United | E0470 | $651.27 | 1639436645 - ANTHONY FLORES | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TX | Pediatric Infectious Diseases Physician (2080P0208X) |
United | E0470 | $651.27 | 1700542040 - LINDSAY LADZINSKI | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | Gerontology Nurse Practitioner (363LG0600X) |
United | E0470 | $868.41 | 1205299989 - BRITTANY GATTA | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | NC | Hospice and Palliative Medicine (Internal Medicine) Physician (207RH0002X) |
United | E0470 | $86.51 | 1003417486 - KAYLN WOLFE | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | Pediatric Nurse Practitioner (363LP0200X) |
United | E0470 | $1209.90 | 1902225006 - DAVID CONKLIN | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | CO | Psychiatry Physician (2084P0800X) |
United | E0470 | $651.27 | 1881757490 - LANCE LECLERE | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | Sports Medicine (Orthopaedic Surgery) Physician (207XX0005X) |
United | E0470 | $86.51 | 1144614140 - JASON SAMUELS | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | CO | Surgery Physician (208600000X) |
United | E0470 | $86.51 | 1124473459 - ADAM HARTMAN | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | CO | Neurology Physician (2084N0400X) |
United | E0470 | $651.27 | 1275140006 - REBEKAH PIKE | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | OH | Acute Care Nurse Practitioner (363LA2100X) |
United | E0470 | $651.27 | 1023444650 - BRIANNA MCKENNEY | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | Surgical Physician Assistant (363AS0400X) |
United | E0470 | $868.41 | 1457811960 - HANNAH WUESTHOFF | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | Advanced Practice Midwife (367A00000X) |
United | E0470 | $651.27 | 1851405328 - MARY PHILIP | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | Hematology & Oncology Physician (207RH0003X) |
United | E0470 | $86.51 | 1326003930 - JOSEPH MAGLIOCCA | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | GA | Surgery Physician (208600000X) |
United | E0470 | $86.51 | 1003311747 - CASEY DISTASO | 352528741 - VANDERBILT UNIVERSITY MEDICAL CENTER | TN | Emergency Medicine Physician (207P00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS E0470 vs. Other Oxygen Delivery Systems and Related Supplies Codes
The HCPCS E0470 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 E0470 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 |
|---|---|---|
| E0467-HCPCS | High | 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 |
| E0470-HCPCS | Moderate | 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-HCPCS | High | 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) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0470. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0470 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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