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)
- Face-to-face & WOPD
- Not on the required list
- MUE unit limit
- 1
- Status
- Active (HCPCS Level II October 2026)
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.
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.
E0277 Medicare fee schedule (October 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $185.56 to $563.60 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| 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 |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0277 at 1 unit per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Code Descriptor / CPT Instruction.
Common denial codes to watch
Related E-codes
Bill E0277 with confidence
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