TX: $158.23 (dmepos_tos_9_e_j_l_and_r, Home Health Dme), effective Sep 1, 2025
VA: $67.93 (dme), effective Dec 1, 2026
WA: $49.21 (respiratory), effective Jul 1, 2026
From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.