E0372 — Powered air overlay for mattress, standard mattress length and width
HCPCS Level II E-code · short descriptor: “Powered air 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 E0372 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.
E0372 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $185.56 to $519.97 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $511.75 | — |
| AL | $251.55 | $455.87 |
| AR | $251.55 | $462.75 |
| AZ | $256.63 | $438.94 |
| CA | $185.56 | $447.06 |
| CO | $249.97 | $462.75 |
| CT | $234.53 | $462.75 |
| DC | $219.86 | $462.75 |
| DE | $219.86 | $454.85 |
| FL | $251.55 | $434.72 |
| GA | $251.55 | $452.80 |
| HI | $468.16 | — |
| IA | $257.64 | $462.75 |
| ID | $249.97 | $462.75 |
| IL | $230.02 | $462.75 |
| IN | $230.02 | $462.75 |
| KS | $257.64 | $462.75 |
| KY | $251.55 | $462.75 |
| LA | $251.55 | $456.89 |
| MA | $234.53 | $462.75 |
| MD | $219.86 | $443.97 |
| ME | $234.53 | $462.75 |
| MI | $230.02 | $448.28 |
| MN | $257.64 | $462.75 |
| MO | $257.64 | $462.75 |
| MS | $251.55 | $428.34 |
| MT | $249.97 | $430.19 |
| NC | $251.55 | $462.75 |
| ND | $257.64 | $429.78 |
| NE | $257.64 | $462.75 |
| NH | $234.53 | $462.75 |
| NJ | $219.86 | $442.34 |
| NM | $256.63 | $424.32 |
| NV | $185.56 | $446.36 |
| NY | $219.86 | $452.71 |
| OH | $230.02 | $462.75 |
| OK | $256.63 | $462.75 |
| OR | $185.56 | $462.75 |
| PA | $219.86 | $448.96 |
| PR | $519.97 | — |
| RI | $234.53 | $413.06 |
| SC | $251.55 | $450.49 |
| SD | $257.64 | $456.35 |
| TN | $251.55 | $442.04 |
| TX | $256.63 | $462.75 |
| UT | $249.97 | $462.75 |
| VA | $251.55 | $444.24 |
| VI | $462.75 | — |
| VT | $234.53 | $462.75 |
| WA | $185.56 | $462.75 |
| WI | $230.02 | $462.75 |
| WV | $251.55 | $451.56 |
| WY | $249.97 | $455.35 |
Common denial codes to watch
Related E-codes
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