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E0205 — Heat lamp, with stand, includes bulb, or infrared element

HCPCS Level II E-code · short descriptor: “Heat lamp with 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
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.

E0205 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $166.67 to $370.65 depending on state and rural status.

Former-CBA payment limits: ceiling $276.56 · floor $235.08

StateNon-ruralRural
AK$166.67
AL$235.08
AR$276.56
AZ$235.08
CA$235.08
CO$276.56
CT$276.56
DC$235.08
DE$235.08
FL$235.08
GA$276.56
HI$178.20
IA$240.40
ID$235.08
IL$276.56
IN$276.56
KS$276.56
KY$235.08
LA$276.56
MA$235.08
MD$235.08
ME$235.08
MI$235.08
MN$246.81
MO$261.63
MS$235.08
MT$240.40
NC$276.56
ND$276.56
NE$276.56
NH$235.08
NJ$235.08
NM$276.56
NV$235.08
NY$276.56
OH$276.56
OK$276.56
OR$235.08
PA$235.08
PR$370.65
RI$263.56
SC$276.56
SD$276.56
TN$276.56
TX$276.56
UT$276.56
VA$276.56
VI$276.56
VT$235.08
WA$276.56
WI$276.56
WV$276.56
WY$276.56

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $25.87 to $85.99 depending on state and rural status.

Former-CBA payment limits: ceiling $30.43 · floor $25.87

StateNon-ruralRural
AK$80.38
AL$25.87
AR$30.43
AZ$28.83
CA$30.43
CO$30.43
CT$30.43
DC$28.28
DE$30.43
FL$25.87
GA$30.43
HI$85.99
IA$25.87
ID$25.87
IL$30.43
IN$30.43
KS$30.43
KY$29.63
LA$30.43
MA$25.87
MD$25.87
ME$25.87
MI$25.87
MN$27.50
MO$26.15
MS$25.87
MT$25.87
NC$30.43
ND$30.43
NE$30.43
NH$25.87
NJ$28.28
NM$30.43
NV$25.87
NY$30.43
OH$30.43
OK$30.43
OR$25.87
PA$29.95
PR$46.33
RI$25.87
SC$30.43
SD$30.43
TN$30.42
TX$30.43
UT$27.66
VA$30.43
VI$30.43
VT$25.87
WA$30.43
WI$30.43
WV$30.43
WY$30.43

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $125.02 to $277.96 depending on state and rural status.

Former-CBA payment limits: ceiling $207.43 · floor $176.32

StateNon-ruralRural
AK$125.02
AL$176.32
AR$207.43
AZ$176.32
CA$176.32
CO$207.43
CT$207.43
DC$176.32
DE$176.32
FL$176.32
GA$207.43
HI$133.70
IA$180.35
ID$176.32
IL$207.43
IN$207.43
KS$207.43
KY$176.32
LA$207.43
MA$176.32
MD$176.32
ME$176.32
MI$176.32
MN$185.07
MO$196.24
MS$176.32
MT$180.33
NC$207.43
ND$207.43
NE$207.43
NH$176.32
NJ$176.32
NM$207.43
NV$176.32
NY$207.43
OH$207.43
OK$207.43
OR$176.32
PA$176.32
PR$277.96
RI$197.68
SC$207.43
SD$207.43
TN$207.43
TX$207.43
UT$207.43
VA$207.43
VI$207.43
VT$176.32
WA$207.43
WI$207.43
WV$207.43
WY$207.43
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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