E0249 — Pad for water circulating heat unit, for replacement only
HCPCS Level II E-code · short descriptor: “Pad water circulating heat u”
- 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.
E0249 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $120.65 to $218.96 depending on state and rural status.
Former-CBA payment limits: ceiling $141.94 · floor $120.65
| State | Non-rural | Rural |
|---|---|---|
| AK | $204.75 | — |
| AL | $120.65 | — |
| AR | $125.75 | — |
| AZ | $120.65 | — |
| CA | $141.94 | — |
| CO | $141.94 | — |
| CT | $141.94 | — |
| DC | $141.94 | — |
| DE | $141.94 | — |
| FL | $120.65 | — |
| GA | $141.94 | — |
| HI | $218.96 | — |
| IA | $141.94 | — |
| ID | $141.94 | — |
| IL | $141.94 | — |
| IN | $120.65 | — |
| KS | $120.65 | — |
| KY | $120.65 | — |
| LA | $129.31 | — |
| MA | $141.94 | — |
| MD | $141.94 | — |
| ME | $141.94 | — |
| MI | $120.65 | — |
| MN | $120.65 | — |
| MO | $141.94 | — |
| MS | $120.65 | — |
| MT | $120.65 | — |
| NC | $141.94 | — |
| ND | $141.94 | — |
| NE | $120.65 | — |
| NH | $141.94 | — |
| NJ | $141.94 | — |
| NM | $120.65 | — |
| NV | $120.65 | — |
| NY | $120.65 | — |
| OH | $120.65 | — |
| OK | $120.65 | — |
| OR | $120.65 | — |
| PA | $141.94 | — |
| PR | $180.93 | — |
| RI | $141.94 | — |
| SC | $131.22 | — |
| SD | $141.94 | — |
| TN | $141.94 | — |
| TX | $141.94 | — |
| UT | $120.65 | — |
| VA | $120.65 | — |
| VI | $120.65 | — |
| VT | $141.94 | — |
| WA | $120.65 | — |
| WI | $141.94 | — |
| WV | $120.65 | — |
| WY | $141.94 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $13.26 to $22.60 depending on state and rural status.
Former-CBA payment limits: ceiling $15.60 · floor $13.26
| State | Non-rural | Rural |
|---|---|---|
| AK | $20.49 | — |
| AL | $13.26 | — |
| AR | $13.26 | — |
| AZ | $13.26 | — |
| CA | $15.60 | — |
| CO | $15.60 | — |
| CT | $15.60 | — |
| DC | $15.60 | — |
| DE | $15.60 | — |
| FL | $13.26 | — |
| GA | $15.60 | — |
| HI | $21.91 | — |
| IA | $15.60 | — |
| ID | $14.19 | — |
| IL | $15.60 | — |
| IN | $13.26 | — |
| KS | $13.26 | — |
| KY | $13.26 | — |
| LA | $13.26 | — |
| MA | $15.60 | — |
| MD | $15.60 | — |
| ME | $15.60 | — |
| MI | $13.26 | — |
| MN | $13.26 | — |
| MO | $15.60 | — |
| MS | $13.26 | — |
| MT | $13.26 | — |
| NC | $15.60 | — |
| ND | $15.60 | — |
| NE | $13.26 | — |
| NH | $15.60 | — |
| NJ | $15.60 | — |
| NM | $13.26 | — |
| NV | $13.26 | — |
| NY | $13.26 | — |
| OH | $13.26 | — |
| OK | $15.60 | — |
| OR | $13.26 | — |
| PA | $15.60 | — |
| PR | $22.60 | — |
| RI | $15.60 | — |
| SC | $13.26 | — |
| SD | $15.60 | — |
| TN | $15.60 | — |
| TX | $15.60 | — |
| UT | $13.26 | — |
| VA | $13.26 | — |
| VI | $13.26 | — |
| VT | $15.60 | — |
| WA | $13.26 | — |
| WI | $15.60 | — |
| WV | $13.26 | — |
| WY | $15.60 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $90.48 to $164.20 depending on state and rural status.
Former-CBA payment limits: ceiling $106.45 · floor $90.48
| State | Non-rural | Rural |
|---|---|---|
| AK | $153.59 | — |
| AL | $90.48 | — |
| AR | $94.32 | — |
| AZ | $90.48 | — |
| CA | $106.45 | — |
| CO | $106.45 | — |
| CT | $106.45 | — |
| DC | $106.45 | — |
| DE | $106.45 | — |
| FL | $90.48 | — |
| GA | $106.45 | — |
| HI | $164.20 | — |
| IA | $106.45 | — |
| ID | $106.45 | — |
| IL | $106.45 | — |
| IN | $90.48 | — |
| KS | $90.48 | — |
| KY | $90.48 | — |
| LA | $96.99 | — |
| MA | $106.45 | — |
| MD | $106.45 | — |
| ME | $106.45 | — |
| MI | $90.48 | — |
| MN | $90.48 | — |
| MO | $106.45 | — |
| MS | $90.48 | — |
| MT | $90.48 | — |
| NC | $106.45 | — |
| ND | $106.45 | — |
| NE | $90.48 | — |
| NH | $106.45 | — |
| NJ | $106.45 | — |
| NM | $90.48 | — |
| NV | $90.48 | — |
| NY | $90.48 | — |
| OH | $90.48 | — |
| OK | $90.48 | — |
| OR | $90.48 | — |
| PA | $106.45 | — |
| PR | $135.69 | — |
| RI | $106.45 | — |
| SC | $98.44 | — |
| SD | $106.45 | — |
| TN | $106.45 | — |
| TX | $106.45 | — |
| UT | $90.48 | — |
| VA | $90.48 | — |
| VI | $90.48 | — |
| VT | $106.45 | — |
| WA | $90.48 | — |
| WI | $106.45 | — |
| WV | $90.48 | — |
| WY | $106.45 | — |
Common denial codes to watch
Related E-codes
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