E0186 — Air pressure mattress
HCPCS Level II E-code
- 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
- 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.
E0186 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $22.53 to $59.47 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $52.59 | — |
| AL | $22.53 | $24.59 |
| AR | $22.53 | $24.59 |
| AZ | $22.95 | $27.24 |
| CA | $23.90 | $27.24 |
| CO | $22.60 | $27.24 |
| CT | $24.06 | $27.24 |
| DC | $23.75 | $27.24 |
| DE | $23.75 | $27.24 |
| FL | $22.53 | $27.24 |
| GA | $22.53 | $24.59 |
| HI | $54.50 | — |
| IA | $22.90 | $26.36 |
| ID | $22.60 | $27.24 |
| IL | $24.04 | $24.59 |
| IN | $24.04 | $24.59 |
| KS | $22.90 | $24.59 |
| KY | $22.53 | $24.59 |
| LA | $22.53 | $24.87 |
| MA | $24.06 | $24.59 |
| MD | $23.75 | $27.24 |
| ME | $24.06 | $24.59 |
| MI | $24.04 | $27.24 |
| MN | $22.90 | $24.59 |
| MO | $22.90 | $27.24 |
| MS | $22.53 | $24.59 |
| MT | $22.60 | $24.59 |
| NC | $22.53 | $24.59 |
| ND | $22.90 | $27.24 |
| NE | $22.90 | $24.59 |
| NH | $24.06 | $24.59 |
| NJ | $23.75 | $27.24 |
| NM | $22.95 | $24.59 |
| NV | $23.90 | $27.24 |
| NY | $23.75 | $27.24 |
| OH | $24.04 | $27.24 |
| OK | $22.95 | $24.59 |
| OR | $23.90 | $27.24 |
| PA | $23.75 | $27.24 |
| PR | $59.47 | — |
| RI | $24.06 | $26.03 |
| SC | $22.53 | $24.59 |
| SD | $22.90 | $27.24 |
| TN | $22.53 | $24.59 |
| TX | $22.95 | $27.24 |
| UT | $22.60 | $24.59 |
| VA | $22.53 | $27.24 |
| VI | $28.93 | — |
| VT | $24.06 | $24.59 |
| WA | $23.90 | $27.24 |
| WI | $24.04 | $27.24 |
| WV | $22.53 | $27.24 |
| WY | $22.60 | $27.24 |
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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