MyMedi-AI

E0225 — Hydrocollator unit, includes pads

HCPCS Level II E-code · short descriptor: “Hydrocollator unit”

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 2026-10-27; 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 2026-10-27; 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.

E0225 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $470.80 to $682.90 depending on state and rural status.

Former-CBA payment limits: ceiling $553.88 · floor $470.80

StateNon-ruralRural
AK$528.64—
AL$470.80—
AR$531.00—
AZ$553.88—
CA$523.39—
CO$553.88—
CT$470.80—
DC$470.80—
DE$470.80—
FL$470.80—
GA$553.88—
HI$565.25—
IA$553.88—
ID$553.88—
IL$470.80—
IN$470.80—
KS$553.88—
KY$553.88—
LA$546.03—
MA$470.80—
MD$470.80—
ME$470.80—
MI$470.80—
MN$553.88—
MO$553.88—
MS$553.88—
MT$553.88—
NC$553.88—
ND$553.88—
NE$553.88—
NH$470.80—
NJ$470.80—
NM$553.88—
NV$553.88—
NY$553.88—
OH$470.80—
OK$553.88—
OR$553.88—
PA$470.80—
PR$682.90—
RI$553.88—
SC$543.81—
SD$553.88—
TN$553.88—
TX$553.88—
UT$470.80—
VA$497.59—
VI$553.88—
VT$470.80—
WA$553.88—
WI$470.80—
WV$470.80—
WY$553.88—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $46.40 to $85.36 depending on state and rural status.

Former-CBA payment limits: ceiling $54.59 · floor $46.40

StateNon-ruralRural
AK$52.87—
AL$46.40—
AR$53.10—
AZ$54.59—
CA$52.35—
CO$54.59—
CT$46.40—
DC$46.40—
DE$46.40—
FL$46.40—
GA$54.59—
HI$56.54—
IA$46.40—
ID$54.59—
IL$46.40—
IN$46.40—
KS$54.59—
KY$54.59—
LA$54.59—
MA$46.40—
MD$46.40—
ME$46.40—
MI$46.40—
MN$54.59—
MO$54.59—
MS$54.59—
MT$54.59—
NC$54.59—
ND$54.59—
NE$54.59—
NH$46.40—
NJ$46.40—
NM$54.59—
NV$54.59—
NY$54.59—
OH$46.40—
OK$54.59—
OR$54.59—
PA$46.40—
PR$85.36—
RI$54.59—
SC$46.40—
SD$54.59—
TN$54.59—
TX$54.59—
UT$46.40—
VA$47.98—
VI$54.59—
VT$46.40—
WA$54.59—
WI$46.40—
WV$46.40—
WY$54.59—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $353.11 to $512.18 depending on state and rural status.

Former-CBA payment limits: ceiling $415.42 · floor $353.11

StateNon-ruralRural
AK$396.46—
AL$353.11—
AR$398.23—
AZ$415.42—
CA$392.53—
CO$415.42—
CT$353.11—
DC$353.11—
DE$353.11—
FL$353.11—
GA$415.42—
HI$423.94—
IA$415.42—
ID$415.42—
IL$353.11—
IN$353.11—
KS$415.42—
KY$415.42—
LA$409.54—
MA$353.11—
MD$353.11—
ME$353.11—
MI$353.11—
MN$415.42—
MO$415.42—
MS$415.42—
MT$415.42—
NC$415.42—
ND$415.42—
NE$415.42—
NH$353.11—
NJ$353.11—
NM$415.42—
NV$415.42—
NY$415.42—
OH$353.11—
OK$415.42—
OR$415.42—
PA$353.11—
PR$512.18—
RI$415.42—
SC$407.85—
SD$415.42—
TN$415.42—
TX$415.42—
UT$353.11—
VA$360.17—
VI$415.42—
VT$353.11—
WA$415.42—
WI$353.11—
WV$353.11—
WY$415.42—
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.

Common denial codes to watch

Related E-codes

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