E0371 — Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width

HCPCS Level II E-code · short descriptor: “Nonpower mattress overlay” · PA required

Code system: HCPCS Level II
Family: E — Durable medical equipment
Medicare coverage status: Carrier judgment — coverage decided by the DME MAC
DMEPOS payment category: Capped rental
Prior authorization: Required (Medicare, since 2019-10-21)
Status: Active (April 2026 HCPCS)

Prior authorization

PA REQUIRED E0371 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.

E0371 Medicare fee schedule (April 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $185.56 to $451.50 depending on state and rural status.

State	Non-rural	Rural
AK	$444.74	—
AL	$251.55	$398.66
AR	$251.55	$404.35
AZ	$256.63	$384.73
CA	$185.56	$391.43
CO	$249.97	$404.35
CT	$234.53	$404.35
DC	$219.86	$404.35
DE	$219.86	$397.82
FL	$251.55	$381.25
GA	$251.55	$396.15
HI	$408.83	—
IA	$255.83	$404.35
ID	$249.97	$404.35
IL	$230.02	$404.35
IN	$230.02	$404.35
KS	$255.83	$404.35
KY	$251.55	$404.35
LA	$251.55	$399.51
MA	$234.53	$404.35
MD	$219.86	$388.87
ME	$234.53	$404.35
MI	$230.02	$392.44
MN	$255.83	$404.35
MO	$255.83	$404.35
MS	$251.55	$375.99
MT	$249.97	$377.52
NC	$251.55	$404.35
ND	$255.83	$377.16
NE	$255.83	$404.35
NH	$234.53	$404.35
NJ	$219.86	$387.54
NM	$256.63	$372.68
NV	$185.56	$390.85
NY	$219.86	$396.08
OH	$230.02	$404.35
OK	$256.63	$404.35
OR	$185.56	$404.35
PA	$219.86	$392.97
PR	$451.50	—
RI	$234.53	$363.41
SC	$251.55	$394.25
SD	$255.83	$399.07
TN	$251.55	$387.27
TX	$256.63	$404.35
UT	$249.97	$404.35
VA	$251.55	$389.10
VI	$404.35	—
VT	$234.53	$404.35
WA	$185.56	$404.35
WI	$230.02	$404.35
WV	$251.55	$395.13
WY	$249.97	$398.25

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

CO-50 medical necessity CO-197 no prior auth

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