E0272 — Mattress, foam rubber
HCPCS Level II E-code · short descriptor: “Mattress foam rubber”
- 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
- Status
- Active (April 2026 HCPCS)
Prior authorization
Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.
E0272 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $165.67 to $240.18 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $226.41 | — |
| AL | $178.16 | $201.47 |
| AR | $178.16 | $220.11 |
| AZ | $167.82 | $220.11 |
| CA | $165.67 | $220.11 |
| CO | $173.59 | $216.75 |
| CT | $179.00 | $220.11 |
| DC | $170.40 | $215.53 |
| DE | $170.40 | $215.53 |
| FL | $178.16 | $213.11 |
| GA | $178.16 | $220.11 |
| HI | $235.45 | — |
| IA | $174.03 | $220.11 |
| ID | $173.59 | $201.47 |
| IL | $176.56 | $201.47 |
| IN | $176.56 | $211.65 |
| KS | $174.03 | $220.11 |
| KY | $178.16 | $220.11 |
| LA | $178.16 | $220.11 |
| MA | $179.00 | $220.11 |
| MD | $170.40 | $210.93 |
| ME | $179.00 | $201.47 |
| MI | $176.56 | $219.09 |
| MN | $174.03 | $220.11 |
| MO | $174.03 | $204.42 |
| MS | $178.16 | $201.47 |
| MT | $173.59 | $201.47 |
| NC | $178.16 | $220.11 |
| ND | $174.03 | $220.11 |
| NE | $174.03 | $220.11 |
| NH | $179.00 | $219.54 |
| NJ | $170.40 | $215.53 |
| NM | $167.82 | $220.11 |
| NV | $165.67 | $220.11 |
| NY | $170.40 | $201.47 |
| OH | $176.56 | $212.89 |
| OK | $167.82 | $220.11 |
| OR | $165.67 | $201.47 |
| PA | $170.40 | $215.53 |
| PR | $240.18 | — |
| RI | $179.00 | $220.11 |
| SC | $178.16 | $220.11 |
| SD | $174.03 | $220.11 |
| TN | $178.16 | $220.11 |
| TX | $167.82 | $209.46 |
| UT | $173.59 | $220.11 |
| VA | $178.16 | $220.11 |
| VI | $201.69 | — |
| VT | $179.00 | $219.54 |
| WA | $165.67 | $213.61 |
| WI | $176.56 | $220.11 |
| WV | $178.16 | $212.89 |
| WY | $173.59 | $220.11 |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $16.57 to $27.62 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $25.41 | — |
| AL | $17.82 | $20.62 |
| AR | $17.82 | $22.56 |
| AZ | $16.78 | $22.56 |
| CA | $16.57 | $22.56 |
| CO | $17.36 | $21.66 |
| CT | $17.90 | $22.56 |
| DC | $17.04 | $22.56 |
| DE | $17.04 | $22.56 |
| FL | $17.82 | $21.31 |
| GA | $17.82 | $22.56 |
| HI | $26.49 | — |
| IA | $17.40 | $22.02 |
| ID | $17.36 | $20.62 |
| IL | $17.66 | $20.62 |
| IN | $17.66 | $21.17 |
| KS | $17.40 | $22.41 |
| KY | $17.82 | $22.05 |
| LA | $17.82 | $22.56 |
| MA | $17.90 | $22.56 |
| MD | $17.04 | $22.56 |
| ME | $17.90 | $20.62 |
| MI | $17.66 | $20.62 |
| MN | $17.40 | $22.56 |
| MO | $17.40 | $20.62 |
| MS | $17.82 | $20.62 |
| MT | $17.36 | $20.62 |
| NC | $17.82 | $22.56 |
| ND | $17.40 | $22.56 |
| NE | $17.40 | $22.02 |
| NH | $17.90 | $21.56 |
| NJ | $17.04 | $22.56 |
| NM | $16.78 | $22.56 |
| NV | $16.57 | $22.56 |
| NY | $17.04 | $20.62 |
| OH | $17.66 | $22.56 |
| OK | $16.78 | $22.56 |
| OR | $16.57 | $20.62 |
| PA | $17.04 | $22.56 |
| PR | $27.62 | — |
| RI | $17.90 | $22.56 |
| SC | $17.82 | $20.62 |
| SD | $17.40 | $22.56 |
| TN | $17.82 | $22.56 |
| TX | $16.78 | $20.94 |
| UT | $17.36 | $22.56 |
| VA | $17.82 | $22.56 |
| VI | $20.64 | — |
| VT | $17.90 | $21.56 |
| WA | $16.57 | $21.37 |
| WI | $17.66 | $20.62 |
| WV | $17.82 | $22.56 |
| WY | $17.36 | $22.56 |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $117.29 to $180.15 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $117.29 | — |
| AL | $133.62 | $150.72 |
| AR | $133.62 | $164.64 |
| AZ | $125.86 | $164.64 |
| CA | $124.26 | $150.72 |
| CO | $130.19 | $162.57 |
| CT | $134.25 | $164.64 |
| DC | $127.80 | $161.65 |
| DE | $127.80 | $161.65 |
| FL | $133.62 | $159.83 |
| GA | $133.62 | $164.64 |
| HI | $125.42 | — |
| IA | $130.52 | $164.64 |
| ID | $130.19 | $150.72 |
| IL | $132.42 | $150.72 |
| IN | $132.42 | $158.73 |
| KS | $130.52 | $164.64 |
| KY | $133.62 | $164.64 |
| LA | $133.62 | $164.64 |
| MA | $134.25 | $164.64 |
| MD | $127.80 | $158.20 |
| ME | $134.25 | $150.72 |
| MI | $132.42 | $164.30 |
| MN | $130.52 | $164.64 |
| MO | $130.52 | $153.31 |
| MS | $133.62 | $150.72 |
| MT | $130.19 | $150.72 |
| NC | $133.62 | $164.64 |
| ND | $130.52 | $164.64 |
| NE | $130.52 | $164.64 |
| NH | $134.25 | $164.64 |
| NJ | $127.80 | $161.65 |
| NM | $125.86 | $164.64 |
| NV | $124.26 | $164.64 |
| NY | $127.80 | $150.72 |
| OH | $132.42 | $159.66 |
| OK | $125.86 | $164.64 |
| OR | $124.26 | $150.72 |
| PA | $127.80 | $161.65 |
| PR | $180.15 | — |
| RI | $134.25 | $164.64 |
| SC | $133.62 | $164.64 |
| SD | $130.52 | $164.64 |
| TN | $133.62 | $164.64 |
| TX | $125.86 | $157.10 |
| UT | $130.19 | $164.64 |
| VA | $133.62 | $164.64 |
| VI | $150.89 | — |
| VT | $134.25 | $164.64 |
| WA | $124.26 | $160.22 |
| WI | $132.42 | $164.64 |
| WV | $133.62 | $159.66 |
| WY | $130.19 | $164.64 |
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026.
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
Bill E0272 with confidence
MyMedi-AI scrubs whole claims against NCCI pairs, MUE limits, modifier rules, and PA flags before you submit — built for DME teams, no PHI stored on our servers.
Start free trial Run a CMS-0057-F readiness checkPrefer DIY compliance? Self-audit documentation kits for DME suppliers →