MyMedi-AI

E0182 — Pump for alternating pressure pad, for replacement only

HCPCS Level II E-code · short descriptor: “Replace pump, alt press pad”

Code system
HCPCS Level II
Family
E — Durable medical equipment
Medicare coverage status
Special coverage instructions apply
DMEPOS payment category
Capped rental
Prior authorization
Not on Medicare required-PA list
Face-to-face & WOPD
Not on the required list
MUE unit limit
1
Status
Active (HCPCS Level II October 2026)

Prior authorization

Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-25; 8 more from 2026-10-28; sources: CMS list updated 2026-01-13, CMS-6109-N (91 FR 47972)). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

Order readiness — what the written order must contain

Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):

  • Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
  • General description of the item (42 CFR 410.38(d)(1)(i)(B))
  • Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
  • Order date (42 CFR 410.38(d)(1)(i)(D))
  • Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
  • Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))

Not on the F2F/WOPD list (CMS Required F2F & WOPD List — 83 items in force on 2026-10-25; 22 more from 2026-10-28; sources: CMS list effective 2026-04-13 (91 FR 1250), CMS-6109-N (91 FR 47972)). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

E0182 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $24.53 to $42.12 depending on state and rural status.

StateNon-ruralRural
AK$38.63—
AL$24.53$30.79
AR$24.53$30.07
AZ$25.75$32.87
CA$25.88$32.87
CO$25.38$32.87
CT$25.50$30.07
DC$25.65$32.87
DE$25.65$32.87
FL$24.53$30.07
GA$24.53$30.07
HI$40.04—
IA$27.22$32.87
ID$25.38$32.87
IL$28.39$32.87
IN$28.39$32.87
KS$27.22$32.87
KY$24.53$30.07
LA$24.53$30.07
MA$25.50$30.07
MD$25.65$32.87
ME$25.50$30.07
MI$28.39$30.07
MN$27.22$32.87
MO$27.22$32.87
MS$24.53$30.07
MT$25.38$32.17
NC$24.53$30.07
ND$27.22$32.87
NE$27.22$32.87
NH$25.50$30.07
NJ$25.65$32.87
NM$25.75$32.12
NV$25.88$32.87
NY$25.65$30.20
OH$28.39$30.89
OK$25.75$32.87
OR$25.88$32.87
PA$25.65$32.87
PR$42.12—
RI$25.50$30.07
SC$24.53$30.07
SD$27.22$32.87
TN$24.53$30.07
TX$25.75$30.07
UT$25.38$32.87
VA$24.53$30.07
VI$31.96—
VT$25.50$30.07
WA$25.88$32.87
WI$28.39$32.87
WV$24.53$30.07
WY$25.38$32.87
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%. A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area adjustments and non-continental rates can differ — verify with your DME MAC.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps E0182 at 1 unit per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Code Descriptor / CPT Instruction.

Common denial codes to watch

Related E-codes

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