E0217 — Water circulating heat pad with pump
HCPCS Level II E-code · short descriptor: “Water circ heat pad w pump”
- 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.
E0217 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $601.40 to $923.22 depending on state and rural status.
Former-CBA payment limits: ceiling $707.53 · floor $601.40
| State | Non-rural | Rural |
|---|---|---|
| AK | $863.40 | — |
| AL | $703.69 | — |
| AR | $707.53 | — |
| AZ | $707.53 | — |
| CA | $707.53 | — |
| CO | $707.53 | — |
| CT | $707.53 | — |
| DC | $601.40 | — |
| DE | $601.40 | — |
| FL | $601.40 | — |
| GA | $703.69 | — |
| HI | $923.22 | — |
| IA | $707.53 | — |
| ID | $707.53 | — |
| IL | $601.40 | — |
| IN | $601.40 | — |
| KS | $601.40 | — |
| KY | $707.53 | — |
| LA | $707.53 | — |
| MA | $707.53 | — |
| MD | $601.40 | — |
| ME | $707.53 | — |
| MI | $601.40 | — |
| MN | $707.53 | — |
| MO | $601.40 | — |
| MS | $703.69 | — |
| MT | $611.46 | — |
| NC | $707.53 | — |
| ND | $707.53 | — |
| NE | $601.40 | — |
| NH | $707.53 | — |
| NJ | $601.40 | — |
| NM | $707.53 | — |
| NV | $707.53 | — |
| NY | $601.40 | — |
| OH | $601.40 | — |
| OK | $707.53 | — |
| OR | $707.53 | — |
| PA | $601.40 | — |
| PR | $632.08 | — |
| RI | $707.53 | — |
| SC | $703.69 | — |
| SD | $707.53 | — |
| TN | $707.53 | — |
| TX | $707.53 | — |
| UT | $611.46 | — |
| VA | $601.40 | — |
| VI | $601.40 | — |
| VT | $707.53 | — |
| WA | $707.53 | — |
| WI | $601.40 | — |
| WV | $601.40 | — |
| WY | $707.53 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $66.95 to $101.39 depending on state and rural status.
Former-CBA payment limits: ceiling $78.76 · floor $66.95
| State | Non-rural | Rural |
|---|---|---|
| AK | $94.78 | — |
| AL | $68.67 | — |
| AR | $78.76 | — |
| AZ | $78.76 | — |
| CA | $78.76 | — |
| CO | $78.76 | — |
| CT | $78.76 | — |
| DC | $66.95 | — |
| DE | $66.95 | — |
| FL | $66.95 | — |
| GA | $70.33 | — |
| HI | $101.39 | — |
| IA | $78.76 | — |
| ID | $78.76 | — |
| IL | $78.76 | — |
| IN | $66.95 | — |
| KS | $66.95 | — |
| KY | $73.79 | — |
| LA | $78.76 | — |
| MA | $78.76 | — |
| MD | $66.95 | — |
| ME | $78.76 | — |
| MI | $66.95 | — |
| MN | $78.76 | — |
| MO | $66.95 | — |
| MS | $68.68 | — |
| MT | $66.95 | — |
| NC | $78.76 | — |
| ND | $78.76 | — |
| NE | $66.95 | — |
| NH | $78.76 | — |
| NJ | $66.95 | — |
| NM | $70.76 | — |
| NV | $78.76 | — |
| NY | $66.95 | — |
| OH | $66.95 | — |
| OK | $70.76 | — |
| OR | $78.76 | — |
| PA | $66.95 | — |
| PR | $79.03 | — |
| RI | $78.76 | — |
| SC | $66.95 | — |
| SD | $78.76 | — |
| TN | $78.76 | — |
| TX | $78.76 | — |
| UT | $66.95 | — |
| VA | $66.95 | — |
| VI | $66.95 | — |
| VT | $78.76 | — |
| WA | $78.76 | — |
| WI | $78.76 | — |
| WV | $66.95 | — |
| WY | $78.76 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $451.02 to $692.46 depending on state and rural status.
Former-CBA payment limits: ceiling $530.61 · floor $451.02
| State | Non-rural | Rural |
|---|---|---|
| AK | $647.53 | — |
| AL | $527.75 | — |
| AR | $530.61 | — |
| AZ | $530.61 | — |
| CA | $530.61 | — |
| CO | $530.61 | — |
| CT | $530.61 | — |
| DC | $451.02 | — |
| DE | $451.02 | — |
| FL | $451.02 | — |
| GA | $527.75 | — |
| HI | $692.46 | — |
| IA | $530.61 | — |
| ID | $530.61 | — |
| IL | $451.02 | — |
| IN | $451.02 | — |
| KS | $451.02 | — |
| KY | $530.61 | — |
| LA | $530.61 | — |
| MA | $530.61 | — |
| MD | $451.02 | — |
| ME | $530.61 | — |
| MI | $451.02 | — |
| MN | $530.61 | — |
| MO | $451.02 | — |
| MS | $527.75 | — |
| MT | $458.55 | — |
| NC | $530.61 | — |
| ND | $530.61 | — |
| NE | $451.02 | — |
| NH | $530.61 | — |
| NJ | $451.02 | — |
| NM | $530.61 | — |
| NV | $530.61 | — |
| NY | $451.02 | — |
| OH | $451.02 | — |
| OK | $530.61 | — |
| OR | $530.61 | — |
| PA | $451.02 | — |
| PR | $474.02 | — |
| RI | $530.61 | — |
| SC | $527.75 | — |
| SD | $530.61 | — |
| TN | $530.61 | — |
| TX | $530.61 | — |
| UT | $458.56 | — |
| VA | $451.02 | — |
| VI | $451.02 | — |
| VT | $530.61 | — |
| WA | $530.61 | — |
| WI | $451.02 | — |
| WV | $451.02 | — |
| WY | $530.61 | — |
Common denial codes to watch
Related E-codes
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