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E0277 — Powered pressure-reducing air mattress

HCPCS Level II E-code · short descriptor: “Powered pres-redu air mattrs” · PA required

Code system
HCPCS Level II
Family
E — Durable medical equipment
Medicare coverage status
Special coverage instructions apply
DMEPOS payment category
Capped rental
Prior authorization
Required (Medicare, since 2019-10-21)
Status
Active (April 2026 HCPCS)

Prior authorization

PA REQUIRED E0277 is on Medicare's DMEPOS Required Prior Authorization List (Pressure Reducing Support Surfaces — nationwide since 2019-10-21).

Claims for this item without an affirmed prior-authorization decision are automatically denied (commonly surfacing as CO-197). Submit the PA request to your DME MAC with the order and supporting clinical documentation before delivery.

E0277 Medicare fee schedule (April 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $185.56 to $563.60 depending on state and rural status.

StateNon-ruralRural
AK$563.54
AL$251.55$563.56
AR$251.55$563.58
AZ$256.63$527.94
CA$185.56$563.59
CO$249.97$563.56
CT$234.53$563.56
DC$219.86$528.50
DE$219.86$527.94
FL$251.55$558.41
GA$251.55$563.56
HI$563.58
IA$257.64$563.56
ID$249.97$563.56
IL$230.02$563.56
IN$230.02$563.56
KS$257.64$563.56
KY$251.55$563.54
LA$251.55$563.57
MA$234.53$563.56
MD$219.86$563.57
ME$234.53$563.56
MI$230.02$527.94
MN$257.64$563.56
MO$257.64$563.56
MS$251.55$563.55
MT$249.97$527.94
NC$251.55$563.56
ND$257.64$551.44
NE$257.64$563.56
NH$234.53$563.56
NJ$219.86$527.94
NM$256.63$543.78
NV$185.56$527.94
NY$219.86$563.56
OH$230.02$563.56
OK$256.63$563.56
OR$185.56$563.56
PA$219.86$527.94
PR$563.59
RI$234.53$563.56
SC$251.55$552.69
SD$257.64$563.54
TN$251.55$563.57
TX$256.63$563.56
UT$249.97$563.56
VA$251.55$563.56
VI$563.56
VT$234.53$563.56
WA$185.56$563.60
WI$230.02$563.56
WV$251.55$563.54
WY$249.97$563.57
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

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