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E0610 — Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems)

HCPCS Level II E-code · short descriptor: “Pacemaker monitr audible/vis”

Code system
HCPCS Level II
Family
E — Durable medical equipment
Medicare coverage status
Special coverage instructions apply
DMEPOS payment category
Inexpensive or routinely purchased
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.

E0610 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $288.12 to $720.87 depending on state and rural status.

Former-CBA payment limits: ceiling $338.97 · floor $288.12

StateNon-ruralRural
AK$665.50
AL$299.88
AR$288.12
AZ$338.97
CA$338.97
CO$338.97
CT$288.12
DC$338.97
DE$338.97
FL$338.97
GA$299.88
HI$711.56
IA$338.97
ID$320.19
IL$338.97
IN$338.97
KS$338.97
KY$299.88
LA$288.12
MA$288.12
MD$338.97
ME$288.12
MI$338.97
MN$338.97
MO$338.97
MS$338.97
MT$338.97
NC$299.88
ND$338.97
NE$338.97
NH$288.12
NJ$338.97
NM$298.00
NV$338.97
NY$338.97
OH$338.97
OK$289.29
OR$288.12
PA$338.97
PR$720.87
RI$288.12
SC$299.88
SD$338.97
TN$338.97
TX$338.97
UT$338.97
VA$338.97
VI$338.97
VT$288.12
WA$288.12
WI$288.12
WV$338.97
WY$338.97

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $30.39 to $90.11 depending on state and rural status.

Former-CBA payment limits: ceiling $35.75 · floor $30.39

StateNon-ruralRural
AK$54.03
AL$34.18
AR$30.39
AZ$35.75
CA$35.75
CO$33.90
CT$30.39
DC$35.75
DE$35.75
FL$35.75
GA$30.39
HI$57.80
IA$35.75
ID$32.01
IL$35.75
IN$35.75
KS$35.75
KY$35.75
LA$30.39
MA$30.39
MD$35.75
ME$30.39
MI$35.75
MN$35.75
MO$35.02
MS$35.75
MT$33.90
NC$30.39
ND$33.90
NE$35.75
NH$30.39
NJ$35.75
NM$30.39
NV$35.75
NY$35.75
OH$35.75
OK$30.39
OR$30.39
PA$35.75
PR$90.11
RI$30.39
SC$30.39
SD$33.90
TN$35.75
TX$35.75
UT$33.90
VA$35.75
VI$35.75
VT$30.39
WA$30.39
WI$35.75
WV$35.75
WY$33.90

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $216.12 to $540.69 depending on state and rural status.

Former-CBA payment limits: ceiling $254.26 · floor $216.12

StateNon-ruralRural
AK$486.51
AL$224.89
AR$216.12
AZ$254.26
CA$254.26
CO$254.26
CT$216.12
DC$254.26
DE$254.26
FL$254.26
GA$224.89
HI$520.20
IA$254.26
ID$240.12
IL$254.26
IN$254.26
KS$254.26
KY$224.89
LA$216.12
MA$216.12
MD$254.26
ME$216.12
MI$254.26
MN$254.26
MO$254.26
MS$254.26
MT$254.26
NC$224.89
ND$254.26
NE$254.26
NH$216.12
NJ$254.26
NM$223.52
NV$254.26
NY$254.26
OH$254.26
OK$217.02
OR$216.12
PA$254.26
PR$540.69
RI$216.12
SC$224.89
SD$254.26
TN$254.26
TX$254.26
UT$254.26
VA$254.26
VI$254.26
VT$216.12
WA$216.12
WI$216.12
WV$254.26
WY$254.26
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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