MyMedi-AI

E0200 — Heat lamp, without stand (table model), includes bulb, or infrared element

HCPCS Level II E-code · short descriptor: “Heat lamp without stand”

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
Face-to-face & WOPD
Not on the required list
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.

E0200 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $96.04 to $237.31 depending on state and rural status.

Former-CBA payment limits: ceiling $112.99 · floor $96.04

StateNon-ruralRural
AK$142.56—
AL$112.99—
AR$112.99—
AZ$96.04—
CA$112.99—
CO$112.99—
CT$112.99—
DC$112.99—
DE$112.99—
FL$96.04—
GA$112.99—
HI$152.46—
IA$103.53—
ID$112.99—
IL$112.99—
IN$96.04—
KS$97.69—
KY$112.99—
LA$112.99—
MA$96.04—
MD$105.86—
ME$96.04—
MI$96.04—
MN$96.04—
MO$112.99—
MS$96.04—
MT$96.04—
NC$112.99—
ND$96.04—
NE$97.69—
NH$96.04—
NJ$96.04—
NM$107.59—
NV$96.04—
NY$112.99—
OH$112.99—
OK$107.59—
OR$112.99—
PA$112.99—
PR$237.31—
RI$112.99—
SC$112.99—
SD$96.04—
TN$112.99—
TX$112.99—
UT$112.99—
VA$112.99—
VI$112.99—
VT$96.04—
WA$112.99—
WI$112.99—
WV$112.99—
WY$96.04—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $13.04 to $42.10 depending on state and rural status.

Former-CBA payment limits: ceiling $15.34 · floor $13.04

StateNon-ruralRural
AK$39.42—
AL$15.34—
AR$15.34—
AZ$13.04—
CA$15.34—
CO$15.34—
CT$15.34—
DC$15.34—
DE$15.34—
FL$13.04—
GA$15.34—
HI$42.10—
IA$13.04—
ID$13.17—
IL$15.34—
IN$13.04—
KS$13.04—
KY$13.85—
LA$15.34—
MA$13.04—
MD$15.34—
ME$13.04—
MI$13.04—
MN$13.04—
MO$15.34—
MS$13.04—
MT$13.04—
NC$15.34—
ND$13.04—
NE$13.04—
NH$13.04—
NJ$15.34—
NM$13.04—
NV$15.34—
NY$15.34—
OH$15.34—
OK$13.04—
OR$15.34—
PA$15.34—
PR$29.66—
RI$13.04—
SC$15.34—
SD$13.04—
TN$15.34—
TX$15.34—
UT$14.83—
VA$15.34—
VI$15.34—
VT$13.04—
WA$15.34—
WI$15.34—
WV$15.34—
WY$13.04—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $72.07 to $177.95 depending on state and rural status.

Former-CBA payment limits: ceiling $84.79 · floor $72.07

StateNon-ruralRural
AK$107.54—
AL$84.79—
AR$84.79—
AZ$72.07—
CA$84.79—
CO$84.79—
CT$84.79—
DC$84.79—
DE$84.78—
FL$72.07—
GA$84.79—
HI$115.01—
IA$77.66—
ID$84.79—
IL$84.79—
IN$72.07—
KS$73.26—
KY$84.79—
LA$84.79—
MA$72.07—
MD$79.42—
ME$72.07—
MI$72.07—
MN$72.07—
MO$84.79—
MS$72.07—
MT$72.07—
NC$84.79—
ND$72.07—
NE$73.26—
NH$72.07—
NJ$72.07—
NM$80.70—
NV$72.07—
NY$84.79—
OH$84.79—
OK$80.70—
OR$84.79—
PA$84.78—
PR$177.95—
RI$84.79—
SC$84.79—
SD$72.07—
TN$84.79—
TX$84.79—
UT$84.79—
VA$84.79—
VI$84.79—
VT$72.07—
WA$84.79—
WI$84.79—
WV$84.79—
WY$72.07—
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.

Common denial codes to watch

Related E-codes

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