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
- 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.
E0205 Medicare fee schedule (October 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
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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 | — |
Common denial codes to watch
Related E-codes
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