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E0490 — Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote

HCPCS Level II E-code · short descriptor: “Control unit nm hw remote”

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
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.

E0490 Medicare fee schedule (April 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $97.55 to $130.12 depending on state and rural status.

StateNon-ruralRural
AK$97.55
AL$127.51
AR$108.44
AZ$127.58
CA$108.44
CO$126.46
CT$112.53
DC$121.70
DE$127.58
FL$127.58
GA$127.58
HI$104.32
IA$108.44
ID$127.58
IL$127.58
IN$127.58
KS$127.58
KY$127.58
LA$108.44
MA$127.58
MD$108.44
ME$127.58
MI$108.44
MN$127.58
MO$127.58
MS$108.44
MT$127.58
NC$111.34
ND$108.44
NE$127.58
NH$108.44
NJ$127.58
NM$117.60
NV$118.76
NY$126.55
OH$127.58
OK$127.58
OR$127.58
PA$127.58
PR$130.12
RI$108.44
SC$116.88
SD$108.44
TN$108.44
TX$127.58
UT$127.58
VA$112.60
VI$126.55
VT$108.44
WA$127.58
WI$127.58
WV$127.58
WY$111.41
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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