E0463 — Pressure support ventilator with volume control mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube)
E0463 is a HCPCS Level II code for pressure support ventilator with volume control mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube). 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 E0463 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: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
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 E0463
- Long descriptor
- Pressure support ventilator with volume control mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube)
- Short descriptor
- Press supp vent invasive int
- Added
- January 1, 2005
- 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 E0463
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If E0463 is not quite right, the correct code is very often within a few positions of it.
- 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
- E0461Volume control ventilator, without pressure support mode, may include pressure control mode, used with non-invasive interface (e.g., mask)terminated
- E0462Rocking bed with or without side rails
- 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
- E0470Respiratory 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)
- E0471Respiratory 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)
Questions about E0463
What is HCPCS code E0463?
E0463 is a HCPCS Level II code for pressure support ventilator with volume control mode, may include pressure control mode, used with invasive interface (e.g., tracheostomy tube). It sits in the Durable Medical Equipment section.
Does Medicare cover E0463?
The CMS HCPCS file marks E0463 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
Is E0463 still valid?
No. E0463 was terminated on December 31, 2015 and should not be used on new claims.