MyMedi-AI

E0239 — Hydrocollator unit, portable

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

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 2026-10-26; 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 2026-10-26; 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.

E0239 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $544.91 to $2412.13 depending on state and rural status.

Former-CBA payment limits: ceiling $641.07 · floor $544.91

StateNon-ruralRural
AK$2255.77—
AL$641.07—
AR$544.91—
AZ$641.07—
CA$641.07—
CO$641.07—
CT$641.07—
DC$641.07—
DE$641.07—
FL$641.07—
GA$641.07—
HI$2412.13—
IA$544.91—
ID$544.91—
IL$544.91—
IN$544.91—
KS$544.91—
KY$567.11—
LA$544.91—
MA$641.07—
MD$601.40—
ME$641.07—
MI$544.91—
MN$544.91—
MO$544.91—
MS$641.07—
MT$641.07—
NC$544.91—
ND$544.91—
NE$544.91—
NH$641.07—
NJ$641.07—
NM$546.23—
NV$641.07—
NY$544.91—
OH$544.91—
OK$546.23—
OR$641.07—
PA$641.07—
PR$561.87—
RI$641.07—
SC$641.07—
SD$544.91—
TN$544.91—
TX$641.07—
UT$641.07—
VA$641.07—
VI$544.91—
VT$641.07—
WA$641.07—
WI$544.91—
WV$544.91—
WY$544.91—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $54.50 to $241.18 depending on state and rural status.

Former-CBA payment limits: ceiling $64.12 · floor $54.50

StateNon-ruralRural
AK$225.57—
AL$64.12—
AR$54.50—
AZ$64.12—
CA$64.12—
CO$64.12—
CT$64.12—
DC$64.12—
DE$64.12—
FL$64.12—
GA$64.12—
HI$241.18—
IA$54.50—
ID$54.50—
IL$54.50—
IN$54.50—
KS$54.50—
KY$56.69—
LA$54.50—
MA$64.12—
MD$60.16—
ME$64.12—
MI$54.50—
MN$54.50—
MO$54.50—
MS$64.12—
MT$64.12—
NC$54.50—
ND$54.50—
NE$54.50—
NH$64.12—
NJ$64.12—
NM$54.66—
NV$64.12—
NY$54.50—
OH$54.50—
OK$64.12—
OR$64.12—
PA$64.12—
PR$70.20—
RI$64.12—
SC$64.12—
SD$54.50—
TN$54.50—
TX$64.12—
UT$64.12—
VA$64.12—
VI$54.50—
VT$64.12—
WA$64.12—
WI$54.50—
WV$54.50—
WY$54.50—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $408.70 to $1809.05 depending on state and rural status.

Former-CBA payment limits: ceiling $480.82 · floor $408.70

StateNon-ruralRural
AK$1691.83—
AL$480.82—
AR$408.70—
AZ$480.82—
CA$480.82—
CO$480.82—
CT$480.82—
DC$480.82—
DE$480.82—
FL$480.82—
GA$480.82—
HI$1809.05—
IA$408.70—
ID$408.70—
IL$408.70—
IN$408.70—
KS$408.70—
KY$425.34—
LA$408.70—
MA$480.82—
MD$451.04—
ME$480.82—
MI$408.70—
MN$408.70—
MO$408.70—
MS$480.82—
MT$480.82—
NC$408.70—
ND$408.70—
NE$408.70—
NH$480.82—
NJ$480.82—
NM$409.72—
NV$480.82—
NY$408.70—
OH$408.70—
OK$409.72—
OR$480.82—
PA$480.82—
PR$421.41—
RI$480.82—
SC$480.82—
SD$408.70—
TN$408.70—
TX$480.82—
UT$480.82—
VA$480.82—
VI$408.70—
VT$480.82—
WA$480.82—
WI$408.70—
WV$408.70—
WY$408.70—
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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