E0189 — Lambswool sheepskin pad, any size
HCPCS Level II E-code · short descriptor: “Lambswool sheepskin 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.
E0189 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $57.53 to $143.01 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $135.41 | — |
| AL | $62.41 | $71.01 |
| AR | $62.41 | $62.95 |
| AZ | $63.87 | $71.01 |
| CA | $60.46 | $71.01 |
| CO | $61.87 | $62.95 |
| CT | $62.95 | $62.95 |
| DC | $57.53 | $62.95 |
| DE | $57.53 | $62.95 |
| FL | $62.41 | $71.01 |
| GA | $62.41 | $71.01 |
| HI | $140.43 | — |
| IA | $62.94 | $62.95 |
| ID | $61.87 | $71.01 |
| IL | $61.19 | $71.01 |
| IN | $61.19 | $71.01 |
| KS | $62.94 | $62.95 |
| KY | $62.41 | $68.16 |
| LA | $62.41 | $62.95 |
| MA | $63.37 | $71.01 |
| MD | $57.53 | $71.01 |
| ME | $63.37 | $71.01 |
| MI | $61.19 | $62.95 |
| MN | $62.94 | $71.01 |
| MO | $62.94 | $70.56 |
| MS | $62.41 | $62.95 |
| MT | $61.87 | $70.42 |
| NC | $62.41 | $71.01 |
| ND | $62.94 | $62.95 |
| NE | $62.94 | $62.95 |
| NH | $63.37 | $71.01 |
| NJ | $57.53 | $62.95 |
| NM | $63.87 | $71.01 |
| NV | $60.46 | $71.01 |
| NY | $57.53 | $62.95 |
| OH | $61.19 | $62.95 |
| OK | $63.87 | $71.01 |
| OR | $60.46 | $62.95 |
| PA | $57.53 | $62.95 |
| PR | $143.01 | — |
| RI | $63.37 | $71.01 |
| SC | $62.41 | $71.01 |
| SD | $62.94 | $62.95 |
| TN | $62.41 | $71.01 |
| TX | $63.87 | $71.01 |
| UT | $61.87 | $62.95 |
| VA | $62.41 | $71.01 |
| VI | $74.06 | — |
| VT | $63.37 | $71.01 |
| WA | $60.46 | $62.95 |
| WI | $61.19 | $71.01 |
| WV | $62.41 | $71.01 |
| WY | $61.87 | $69.73 |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $5.75 to $14.31 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $13.54 | — |
| AL | $6.24 | $7.40 |
| AR | $6.24 | $6.80 |
| AZ | $6.39 | $7.40 |
| CA | $6.04 | $7.40 |
| CO | $6.19 | $6.80 |
| CT | $6.34 | $6.80 |
| DC | $5.75 | $7.40 |
| DE | $5.75 | $7.40 |
| FL | $6.24 | $7.40 |
| GA | $6.24 | $7.40 |
| HI | $14.04 | — |
| IA | $6.30 | $6.80 |
| ID | $6.19 | $7.40 |
| IL | $6.12 | $7.40 |
| IN | $6.12 | $7.40 |
| KS | $6.30 | $6.80 |
| KY | $6.24 | $6.81 |
| LA | $6.24 | $6.80 |
| MA | $6.34 | $7.19 |
| MD | $5.75 | $7.40 |
| ME | $6.34 | $7.19 |
| MI | $6.12 | $6.80 |
| MN | $6.30 | $7.40 |
| MO | $6.30 | $7.05 |
| MS | $6.24 | $6.80 |
| MT | $6.19 | $7.05 |
| NC | $6.24 | $7.40 |
| ND | $6.30 | $6.80 |
| NE | $6.30 | $6.80 |
| NH | $6.34 | $7.19 |
| NJ | $5.75 | $7.40 |
| NM | $6.39 | $7.40 |
| NV | $6.04 | $7.40 |
| NY | $5.75 | $6.80 |
| OH | $6.12 | $7.40 |
| OK | $6.39 | $7.40 |
| OR | $6.04 | $6.80 |
| PA | $5.75 | $7.40 |
| PR | $14.31 | — |
| RI | $6.34 | $7.08 |
| SC | $6.24 | $7.40 |
| SD | $6.30 | $6.80 |
| TN | $6.24 | $7.40 |
| TX | $6.39 | $7.40 |
| UT | $6.19 | $6.80 |
| VA | $6.24 | $7.40 |
| VI | $8.01 | — |
| VT | $6.34 | $7.19 |
| WA | $6.04 | $6.80 |
| WI | $6.12 | $7.40 |
| WV | $6.24 | $7.40 |
| WY | $6.19 | $6.97 |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $43.15 to $107.26 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $101.56 | — |
| AL | $46.81 | $53.26 |
| AR | $46.81 | $47.21 |
| AZ | $47.91 | $53.26 |
| CA | $45.35 | $53.26 |
| CO | $46.41 | $47.21 |
| CT | $47.21 | $47.21 |
| DC | $43.15 | $47.21 |
| DE | $43.15 | $47.21 |
| FL | $46.81 | $53.26 |
| GA | $46.81 | $53.26 |
| HI | $105.31 | — |
| IA | $47.21 | $47.21 |
| ID | $46.41 | $53.26 |
| IL | $45.89 | $53.26 |
| IN | $45.89 | $53.26 |
| KS | $47.21 | $47.21 |
| KY | $46.81 | $51.11 |
| LA | $46.81 | $47.21 |
| MA | $47.53 | $53.26 |
| MD | $43.15 | $53.26 |
| ME | $47.53 | $53.26 |
| MI | $45.89 | $47.21 |
| MN | $47.21 | $53.26 |
| MO | $47.21 | $52.94 |
| MS | $46.81 | $47.21 |
| MT | $46.41 | $52.82 |
| NC | $46.81 | $53.26 |
| ND | $47.21 | $47.21 |
| NE | $47.21 | $47.21 |
| NH | $47.53 | $53.26 |
| NJ | $43.15 | $47.21 |
| NM | $47.91 | $53.26 |
| NV | $45.35 | $53.26 |
| NY | $43.15 | $47.21 |
| OH | $45.89 | $47.21 |
| OK | $47.91 | $53.26 |
| OR | $45.35 | $47.21 |
| PA | $43.15 | $47.21 |
| PR | $107.26 | — |
| RI | $47.53 | $53.26 |
| SC | $46.81 | $53.26 |
| SD | $47.21 | $47.21 |
| TN | $46.81 | $53.26 |
| TX | $47.91 | $53.26 |
| UT | $46.41 | $47.21 |
| VA | $46.81 | $53.26 |
| VI | $54.76 | — |
| VT | $47.53 | $53.26 |
| WA | $45.35 | $47.21 |
| WI | $45.89 | $53.26 |
| WV | $46.81 | $53.26 |
| WY | $46.41 | $52.31 |
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
Bill E0189 with confidence
MyMedi-AI scrubs whole claims against NCCI pairs, MUE limits, modifier rules, and PA flags before you submit — built for DME teams, no PHI stored on our servers.
Start free trial Run a CMS-0057-F readiness checkPrefer DIY compliance? Self-audit documentation kits for DME suppliers →