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
| State | Non-rural | Rural |
|---|---|---|
| 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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