MyMedi-AI

E0210 — Electric heat pad, standard

HCPCS Level II E-code · short descriptor: “Electric heat pad standard”

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
MUE unit limit
1
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.

E0210 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $39.56 to $127.76 depending on state and rural status.

Former-CBA payment limits: ceiling $46.54 · floor $39.56

StateNon-ruralRural
AK$119.51—
AL$39.56—
AR$39.56—
AZ$39.56—
CA$46.54—
CO$46.54—
CT$46.54—
DC$46.54—
DE$46.54—
FL$39.56—
GA$41.52—
HI$127.76—
IA$39.56—
ID$39.56—
IL$39.56—
IN$39.56—
KS$46.54—
KY$39.56—
LA$44.94—
MA$46.54—
MD$46.54—
ME$46.54—
MI$46.54—
MN$46.54—
MO$46.54—
MS$39.88—
MT$46.54—
NC$39.56—
ND$39.56—
NE$46.54—
NH$46.54—
NJ$46.54—
NM$39.56—
NV$39.56—
NY$39.56—
OH$46.54—
OK$39.56—
OR$43.63—
PA$46.54—
PR$42.94—
RI$46.54—
SC$39.56—
SD$39.56—
TN$39.56—
TX$39.56—
UT$46.54—
VA$46.54—
VI$39.56—
VT$46.54—
WA$46.54—
WI$46.54—
WV$46.54—
WY$39.56—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $3.73 to $75.11 depending on state and rural status.

Former-CBA payment limits: ceiling $4.39 · floor $3.73

StateNon-ruralRural
AK$70.23—
AL$3.73—
AR$3.73—
AZ$4.39—
CA$4.39—
CO$4.39—
CT$4.39—
DC$4.39—
DE$4.39—
FL$3.76—
GA$4.15—
HI$75.11—
IA$3.73—
ID$3.80—
IL$4.39—
IN$3.73—
KS$4.39—
KY$3.86—
LA$4.39—
MA$3.79—
MD$4.39—
ME$3.79—
MI$4.39—
MN$4.39—
MO$4.39—
MS$3.99—
MT$4.39—
NC$3.73—
ND$3.73—
NE$4.39—
NH$3.78—
NJ$4.39—
NM$3.73—
NV$4.39—
NY$3.73—
OH$4.39—
OK$3.79—
OR$4.39—
PA$4.39—
PR$5.38—
RI$3.74—
SC$3.73—
SD$3.89—
TN$3.73—
TX$3.73—
UT$4.39—
VA$4.39—
VI$3.73—
VT$3.78—
WA$4.39—
WI$4.39—
WV$4.39—
WY$3.73—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $29.64 to $92.86 depending on state and rural status.

Former-CBA payment limits: ceiling $34.87 · floor $29.64

StateNon-ruralRural
AK$86.83—
AL$29.64—
AR$29.64—
AZ$29.64—
CA$34.87—
CO$34.87—
CT$34.87—
DC$34.87—
DE$34.87—
FL$29.64—
GA$31.15—
HI$92.86—
IA$29.64—
ID$29.64—
IL$29.64—
IN$29.64—
KS$34.87—
KY$29.64—
LA$33.70—
MA$34.87—
MD$34.87—
ME$34.87—
MI$34.87—
MN$34.87—
MO$34.87—
MS$29.94—
MT$34.87—
NC$29.64—
ND$29.64—
NE$34.87—
NH$34.87—
NJ$34.87—
NM$29.64—
NV$29.64—
NY$29.64—
OH$34.87—
OK$29.64—
OR$32.75—
PA$34.87—
PR$32.21—
RI$34.87—
SC$29.64—
SD$29.64—
TN$29.64—
TX$29.64—
UT$34.87—
VA$34.87—
VI$29.64—
VT$34.87—
WA$34.87—
WI$34.87—
WV$34.87—
WY$29.64—
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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps E0210 at 1 unit per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Code Descriptor / CPT Instruction.

Common denial codes to watch

Related E-codes

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