E0461 — Volume control ventilator, without pressure support mode, may include pressure control mode, used with non-invasive interface (e.g., mask)
E0461 is a HCPCS Level II code for volume control ventilator, without pressure support mode, may include pressure control mode, used with non-invasive interface (e.g., mask). It belongs to the Durable Medical Equipment section. It was terminated on December 31, 2015 and is not valid on new claims.
This code has been terminated
CMS terminated E0461 on December 31, 2015. It stays in the file as history — a claim you are auditing from before that date may legitimately carry it — but it must not appear on a new claim. The adjacent codes below are the usual place to look for its replacement.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
The CMS record for E0461
- Long descriptor
- Volume control ventilator, without pressure support mode, may include pressure control mode, used with non-invasive interface (e.g., mask)
- Short descriptor
- Vol control vent noninv int
- Added
- January 1, 2003
- Terminated
- December 31, 2015
- BETOS
- D1E
- Pricing indicator
- 31 — DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
When CMS retired it.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Frequently serviced DME. Price subject to floors and ceilings.
Codes adjacent to E0461
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If E0461 is not quite right, the correct code is very often within a few positions of it.
- E0445Oximeter device for measuring blood oxygen levels non-invasively
- E0446Topical oxygen delivery system, not otherwise specified, includes all supplies and accessories
- E0447Portable oxygen contents, liquid, 1 month's supply = 1 unit, prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm)
- E0450Volume control ventilator, without pressure support mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube)terminated
- E0455Oxygen tent, excluding croup or pediatric tents
- E0457Chest shell (cuirass)
- E0459Chest wrap
- E0460Negative pressure ventilator; portable or stationaryterminated
- E0462Rocking bed with or without side rails
- E0463Pressure support ventilator with volume control mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube)terminated
- E0464Pressure support ventilator with volume control mode, may include pressure control mode, used with non-invasive interface (e.g., mask)terminated
- E0465Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube)
- E0466Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell)
- E0467Home 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
- E0468Home ventilator, dual-function respiratory device, also performs additional function of cough stimulation, includes all accessories, components and supplies for all functions
- E0469Lung expansion airway clearance, continuous high frequency oscillation, and nebulization device
Questions about E0461
What is HCPCS code E0461?
E0461 is a HCPCS Level II code for volume control ventilator, without pressure support mode, may include pressure control mode, used with non-invasive interface (e.g., mask). It sits in the Durable Medical Equipment section.
Does Medicare cover E0461?
The CMS HCPCS file marks E0461 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
Is E0461 still valid?
No. E0461 was terminated on December 31, 2015 and should not be used on new claims.