E0194 — Air fluidized bed
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
- Required from 2026-10-28 (Medicare)
- Face-to-face & WOPD
- Required from 2026-10-28 (Pressure Reducing Support Surfaces)
- MUE unit limit
- 1
- Status
- Active (HCPCS Level II October 2026)
Prior authorization
PA STARTS 2026-10-28 E0194 joins Medicare's DMEPOS Required Prior Authorization List for dates of service on or after 2026-10-28 (Pressure Reducing Support Surfaces — CMS-6109-N, 91 FR 47972 (published 2026-07-30)).
Claims for this item without an affirmed prior-authorization decision are automatically denied (commonly surfacing as CO-197). Submit the PA request to your DME MAC with the order and supporting clinical documentation 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))
F2F + WOPD FROM 2026-10-28 E0194 joins Medicare's Required Face-to-Face & WOPD List for dates of service on or after 2026-10-28 (Pressure Reducing Support Surfaces — CMS-6109-N, 91 FR 47972 (published 2026-07-30)). From that date two extra conditions of payment apply:
- Face-to-face encounter (in-person or telehealth) with the treating practitioner within the 6 months before the order date
- Written order communicated to the supplier before delivery (WOPD)
Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.
E0194 Medicare fee schedule (October 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $3856.78 to $4884.31 depending on state and rural status.
Former-CBA payment limits: ceiling $4637.87 · floor $3942.19
| State | Non-rural | Rural |
|---|---|---|
| AK | $4567.74 | — |
| AL | $4637.87 | — |
| AR | $4637.87 | — |
| AZ | $4637.87 | — |
| CA | $4522.54 | — |
| CO | $4637.87 | — |
| CT | $4637.87 | — |
| DC | $4637.87 | — |
| DE | $4637.87 | — |
| FL | $4091.01 | — |
| GA | $3942.19 | — |
| HI | $4884.31 | — |
| IA | $4637.87 | — |
| ID | $4637.87 | — |
| IL | $4637.87 | — |
| IN | $4637.87 | — |
| KS | $4637.87 | — |
| KY | $3942.19 | — |
| LA | $4637.87 | — |
| MA | $4637.87 | — |
| MD | $3993.91 | — |
| ME | $4637.87 | — |
| MI | $4372.12 | — |
| MN | $3942.19 | — |
| MO | $4637.87 | — |
| MS | $4637.87 | — |
| MT | $4637.87 | — |
| NC | $4054.55 | — |
| ND | $4637.69 | — |
| NE | $4637.87 | — |
| NH | $4637.87 | — |
| NJ | $4489.00 | — |
| NM | $3942.19 | — |
| NV | $4637.87 | — |
| NY | $3942.19 | — |
| OH | $4242.32 | — |
| OK | $4205.57 | — |
| OR | $3942.19 | — |
| PA | $4584.57 | — |
| PR | $3856.78 | — |
| RI | $4333.81 | — |
| SC | $3942.19 | — |
| SD | $4637.87 | — |
| TN | $4101.52 | — |
| TX | $4226.58 | — |
| UT | $4637.87 | — |
| VA | $3942.19 | — |
| VI | $3942.19 | — |
| VT | $4637.87 | — |
| WA | $4134.43 | — |
| WI | $3942.19 | — |
| WV | $4048.89 | — |
| WY | $4637.87 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0194 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
Bill E0194 with confidence
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