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
- Face-to-face & WOPD
- Not on the required list
- MUE unit limit
- 1
- Status
- Active (HCPCS Level II October 2026)
Prior authorization
Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-25; 8 more from 2026-10-28; sources: CMS list updated 2026-01-13, CMS-6109-N (91 FR 47972)). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan 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 2026-10-25; 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.
E0610 Medicare fee schedule (October 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
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0610 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 E0610 with confidence
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