E0185 — Gel or gel-like pressure pad for mattress, standard mattress length and width
HCPCS Level II E-code · short descriptor: “Gel pressure mattress pad”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Special coverage instructions apply
- DMEPOS payment category
- Inexpensive or routinely purchased
- Prior authorization
- Not on Medicare required-PA list
- Status
- Active (April 2026 HCPCS)
Prior authorization
Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.
E0185 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $198.83 to $373.55 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $356.84 | — |
| AL | $215.85 | $309.48 |
| AR | $215.85 | $309.48 |
| AZ | $215.74 | $309.48 |
| CA | $201.76 | $343.67 |
| CO | $198.83 | $343.67 |
| CT | $204.55 | $309.48 |
| DC | $208.13 | $343.67 |
| DE | $208.13 | $343.67 |
| FL | $215.85 | $327.64 |
| GA | $215.85 | $322.60 |
| HI | $373.55 | — |
| IA | $220.18 | $333.99 |
| ID | $198.83 | $343.67 |
| IL | $208.16 | $309.48 |
| IN | $208.16 | $309.48 |
| KS | $220.18 | $343.67 |
| KY | $215.85 | $309.48 |
| LA | $215.85 | $309.48 |
| MA | $204.55 | $343.67 |
| MD | $208.13 | $323.26 |
| ME | $204.55 | $343.67 |
| MI | $208.16 | $309.48 |
| MN | $220.18 | $343.67 |
| MO | $220.18 | $343.67 |
| MS | $215.85 | $309.48 |
| MT | $198.83 | $343.67 |
| NC | $215.85 | $343.67 |
| ND | $220.18 | $343.67 |
| NE | $220.18 | $343.67 |
| NH | $204.55 | $343.67 |
| NJ | $208.13 | $309.48 |
| NM | $215.74 | $343.67 |
| NV | $201.76 | $309.48 |
| NY | $208.13 | $343.67 |
| OH | $208.16 | $309.48 |
| OK | $215.74 | $343.67 |
| OR | $201.76 | $343.67 |
| PA | $208.13 | $310.40 |
| PR | $315.05 | — |
| RI | $204.55 | $343.67 |
| SC | $215.85 | $309.48 |
| SD | $220.18 | $309.48 |
| TN | $215.85 | $343.67 |
| TX | $215.74 | $343.67 |
| UT | $198.83 | $309.48 |
| VA | $215.85 | $309.48 |
| VI | $343.67 | — |
| VT | $204.55 | $343.67 |
| WA | $201.76 | $343.67 |
| WI | $208.16 | $343.67 |
| WV | $215.85 | $309.48 |
| WY | $198.83 | $341.50 |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $19.88 to $62.42 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $59.11 | — |
| AL | $21.59 | $38.80 |
| AR | $21.59 | $38.80 |
| AZ | $21.57 | $38.80 |
| CA | $20.18 | $43.60 |
| CO | $19.88 | $38.80 |
| CT | $20.46 | $43.60 |
| DC | $20.81 | $43.60 |
| DE | $20.81 | $43.60 |
| FL | $21.59 | $38.80 |
| GA | $21.59 | $38.80 |
| HI | $62.42 | — |
| IA | $22.02 | $38.80 |
| ID | $19.88 | $42.87 |
| IL | $20.82 | $43.60 |
| IN | $20.82 | $38.80 |
| KS | $22.02 | $41.99 |
| KY | $21.59 | $38.80 |
| LA | $21.59 | $38.80 |
| MA | $20.46 | $43.60 |
| MD | $20.81 | $43.60 |
| ME | $20.46 | $43.60 |
| MI | $20.82 | $43.60 |
| MN | $22.02 | $43.60 |
| MO | $22.02 | $43.60 |
| MS | $21.59 | $38.80 |
| MT | $19.88 | $38.80 |
| NC | $21.59 | $41.55 |
| ND | $22.02 | $38.80 |
| NE | $22.02 | $38.80 |
| NH | $20.46 | $43.60 |
| NJ | $20.81 | $43.60 |
| NM | $21.57 | $42.20 |
| NV | $20.18 | $38.80 |
| NY | $20.81 | $43.60 |
| OH | $20.82 | $43.01 |
| OK | $21.57 | $43.60 |
| OR | $20.18 | $43.60 |
| PA | $20.81 | $43.60 |
| PR | $31.52 | — |
| RI | $20.46 | $40.86 |
| SC | $21.59 | $38.80 |
| SD | $22.02 | $38.80 |
| TN | $21.59 | $43.60 |
| TX | $21.57 | $43.60 |
| UT | $19.88 | $38.80 |
| VA | $21.59 | $43.60 |
| VI | $43.60 | — |
| VT | $20.46 | $43.60 |
| WA | $20.18 | $43.60 |
| WI | $20.82 | $43.60 |
| WV | $21.59 | $43.60 |
| WY | $19.88 | $43.60 |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $149.13 to $349.90 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $332.87 | — |
| AL | $161.89 | $235.50 |
| AR | $161.89 | $235.50 |
| AZ | $161.81 | $235.50 |
| CA | $151.32 | $261.74 |
| CO | $149.13 | $257.74 |
| CT | $153.41 | $235.50 |
| DC | $156.10 | $261.74 |
| DE | $156.10 | $261.74 |
| FL | $161.89 | $245.72 |
| GA | $161.89 | $241.95 |
| HI | $349.90 | — |
| IA | $165.13 | $250.50 |
| ID | $149.13 | $261.74 |
| IL | $156.12 | $235.50 |
| IN | $156.12 | $235.50 |
| KS | $165.13 | $261.74 |
| KY | $161.89 | $235.50 |
| LA | $161.89 | $235.50 |
| MA | $153.41 | $261.74 |
| MD | $156.10 | $242.44 |
| ME | $153.41 | $261.74 |
| MI | $156.12 | $235.50 |
| MN | $165.13 | $261.74 |
| MO | $165.13 | $261.74 |
| MS | $161.89 | $235.50 |
| MT | $149.13 | $261.74 |
| NC | $161.89 | $261.74 |
| ND | $165.13 | $261.74 |
| NE | $165.13 | $261.74 |
| NH | $153.41 | $261.74 |
| NJ | $156.10 | $235.50 |
| NM | $161.81 | $261.74 |
| NV | $151.32 | $235.50 |
| NY | $156.10 | $261.74 |
| OH | $156.12 | $235.50 |
| OK | $161.81 | $261.74 |
| OR | $151.32 | $261.74 |
| PA | $156.10 | $261.74 |
| PR | $236.28 | — |
| RI | $153.41 | $261.74 |
| SC | $161.89 | $235.50 |
| SD | $165.13 | $235.50 |
| TN | $161.89 | $261.74 |
| TX | $161.81 | $261.74 |
| UT | $149.13 | $235.50 |
| VA | $161.89 | $235.50 |
| VI | $261.74 | — |
| VT | $153.41 | $261.74 |
| WA | $151.32 | $261.74 |
| WI | $156.12 | $261.74 |
| WV | $161.89 | $235.50 |
| WY | $149.13 | $256.13 |
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026.
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.
Common denial codes to watch
Related E-codes
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