MyMedi-AI

E0201 — Penile contracture device, manual, greater than 3 lbs traction force

HCPCS Level II E-code · short descriptor: “Penile contractur devic manu”

Code system
HCPCS Level II
Family
E — Durable medical equipment
Medicare coverage status
Carrier judgment — coverage decided by the DME MAC
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.

E0201 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable: $146.52 in all listed states.

Former-CBA payment limits: ceiling $146.52 · floor $124.54

StateNon-ruralRural
AK$146.52—
AL$146.52—
AR$146.52—
AZ$146.52—
CA$146.52—
CO$146.52—
CT$146.52—
DC$146.52—
DE$146.52—
FL$146.52—
GA$146.52—
HI$146.52—
IA$146.52—
ID$146.52—
IL$146.52—
IN$146.52—
KS$146.52—
KY$146.52—
LA$146.52—
MA$146.52—
MD$146.52—
ME$146.52—
MI$146.52—
MN$146.52—
MO$146.52—
MS$146.52—
MT$146.52—
NC$146.52—
ND$146.52—
NE$146.52—
NH$146.52—
NJ$146.52—
NM$146.52—
NV$146.52—
NY$146.52—
OH$146.52—
OK$146.52—
OR$146.52—
PA$146.52—
PR$146.52—
RI$146.52—
SC$146.52—
SD$146.52—
TN$146.52—
TX$146.52—
UT$146.52—
VA$146.52—
VI$146.52—
VT$146.52—
WA$146.52—
WI$146.52—
WV$146.52—
WY$146.52—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable: $14.65 in all listed states.

Former-CBA payment limits: ceiling $14.65 · floor $12.45

StateNon-ruralRural
AK$14.65—
AL$14.65—
AR$14.65—
AZ$14.65—
CA$14.65—
CO$14.65—
CT$14.65—
DC$14.65—
DE$14.65—
FL$14.65—
GA$14.65—
HI$14.65—
IA$14.65—
ID$14.65—
IL$14.65—
IN$14.65—
KS$14.65—
KY$14.65—
LA$14.65—
MA$14.65—
MD$14.65—
ME$14.65—
MI$14.65—
MN$14.65—
MO$14.65—
MS$14.65—
MT$14.65—
NC$14.65—
ND$14.65—
NE$14.65—
NH$14.65—
NJ$14.65—
NM$14.65—
NV$14.65—
NY$14.65—
OH$14.65—
OK$14.65—
OR$14.65—
PA$14.65—
PR$14.65—
RI$14.65—
SC$14.65—
SD$14.65—
TN$14.65—
TX$14.65—
UT$14.65—
VA$14.65—
VI$14.65—
VT$14.65—
WA$14.65—
WI$14.65—
WV$14.65—
WY$14.65—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable: $109.89 in all listed states.

Former-CBA payment limits: ceiling $109.89 · floor $93.41

StateNon-ruralRural
AK$109.89—
AL$109.89—
AR$109.89—
AZ$109.89—
CA$109.89—
CO$109.89—
CT$109.89—
DC$109.89—
DE$109.89—
FL$109.89—
GA$109.89—
HI$109.89—
IA$109.89—
ID$109.89—
IL$109.89—
IN$109.89—
KS$109.89—
KY$109.89—
LA$109.89—
MA$109.89—
MD$109.89—
ME$109.89—
MI$109.89—
MN$109.89—
MO$109.89—
MS$109.89—
MT$109.89—
NC$109.89—
ND$109.89—
NE$109.89—
NH$109.89—
NJ$109.89—
NM$109.89—
NV$109.89—
NY$109.89—
OH$109.89—
OK$109.89—
OR$109.89—
PA$109.89—
PR$109.89—
RI$109.89—
SC$109.89—
SD$109.89—
TN$109.89—
TX$109.89—
UT$109.89—
VA$109.89—
VI$109.89—
VT$109.89—
WA$109.89—
WI$109.89—
WV$109.89—
WY$109.89—
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

CO-50 medical necessity

Related E-codes

E0200E0202E0203E0205E0210E0215E0217E0218E0221E0225E0231E0232

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