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E0202 — Phototherapy (bilirubin) light with photometer

HCPCS Level II E-code · short descriptor: “Phototherapy light w/ photom”

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

E0202 Medicare fee schedule (April 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $75.19 to $320.58 depending on state and rural status.

Former-CBA payment limits: ceiling $89.25 · floor $75.86

StateNon-ruralRural
AK$75.19
AL$89.25
AR$89.25
AZ$75.86
CA$75.86
CO$78.06
CT$77.27
DC$89.25
DE$89.25
FL$75.86
GA$75.86
HI$80.40
IA$89.25
ID$75.86
IL$89.25
IN$83.17
KS$89.25
KY$75.86
LA$89.25
MA$85.90
MD$89.25
ME$88.79
MI$89.25
MN$78.08
MO$89.25
MS$89.25
MT$77.66
NC$89.25
ND$75.86
NE$89.25
NH$81.54
NJ$89.25
NM$89.25
NV$76.60
NY$89.25
OH$89.25
OK$89.25
OR$75.86
PA$89.25
PR$320.58
RI$75.86
SC$89.25
SD$79.04
TN$89.25
TX$89.25
UT$81.89
VA$89.25
VI$89.25
VT$85.21
WA$75.86
WI$75.86
WV$89.25
WY$78.76
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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