E0615 — Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems
HCPCS Level II E-code · short descriptor: “Pacemaker monitr digital/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.
E0615 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $579.99 to $720.87 depending on state and rural status.
Former-CBA payment limits: ceiling $682.34 · floor $579.99
| State | Non-rural | Rural |
|---|---|---|
| AK | $648.66 | — |
| AL | $682.34 | — |
| AR | $579.99 | — |
| AZ | $675.58 | — |
| CA | $642.25 | — |
| CO | $682.34 | — |
| CT | $682.34 | — |
| DC | $600.75 | — |
| DE | $600.75 | — |
| FL | $682.34 | — |
| GA | $682.34 | — |
| HI | $693.62 | — |
| IA | $675.58 | — |
| ID | $682.34 | — |
| IL | $682.34 | — |
| IN | $642.25 | — |
| KS | $675.58 | — |
| KY | $682.34 | — |
| LA | $579.99 | — |
| MA | $682.34 | — |
| MD | $600.75 | — |
| ME | $682.34 | — |
| MI | $619.31 | — |
| MN | $600.75 | — |
| MO | $579.99 | — |
| MS | $682.34 | — |
| MT | $682.34 | — |
| NC | $682.34 | — |
| ND | $682.34 | — |
| NE | $675.58 | — |
| NH | $682.34 | — |
| NJ | $600.75 | — |
| NM | $579.99 | — |
| NV | $675.58 | — |
| NY | $623.02 | — |
| OH | $632.79 | — |
| OK | $579.99 | — |
| OR | $579.99 | — |
| PA | $600.75 | — |
| PR | $720.87 | — |
| RI | $682.34 | — |
| SC | $682.34 | — |
| SD | $682.34 | — |
| TN | $682.34 | — |
| TX | $682.34 | — |
| UT | $682.34 | — |
| VA | $682.34 | — |
| VI | $623.02 | — |
| VT | $682.34 | — |
| WA | $682.34 | — |
| WI | $600.75 | — |
| WV | $632.79 | — |
| WY | $682.34 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $54.03 to $90.11 depending on state and rural status.
Former-CBA payment limits: ceiling $83.37 · floor $70.86
| State | Non-rural | Rural |
|---|---|---|
| AK | $54.03 | — |
| AL | $83.37 | — |
| AR | $70.86 | — |
| AZ | $70.86 | — |
| CA | $70.86 | — |
| CO | $83.37 | — |
| CT | $83.37 | — |
| DC | $83.37 | — |
| DE | $83.37 | — |
| FL | $82.86 | — |
| GA | $83.37 | — |
| HI | $57.80 | — |
| IA | $70.86 | — |
| ID | $73.55 | — |
| IL | $83.37 | — |
| IN | $83.37 | — |
| KS | $70.86 | — |
| KY | $83.37 | — |
| LA | $70.86 | — |
| MA | $83.37 | — |
| MD | $70.86 | — |
| ME | $83.37 | — |
| MI | $83.37 | — |
| MN | $70.86 | — |
| MO | $70.86 | — |
| MS | $83.37 | — |
| MT | $83.37 | — |
| NC | $83.37 | — |
| ND | $83.37 | — |
| NE | $70.86 | — |
| NH | $83.37 | — |
| NJ | $83.37 | — |
| NM | $70.86 | — |
| NV | $70.86 | — |
| NY | $70.86 | — |
| OH | $83.37 | — |
| OK | $70.86 | — |
| OR | $70.86 | — |
| PA | $83.37 | — |
| PR | $90.11 | — |
| RI | $83.37 | — |
| SC | $83.37 | — |
| SD | $83.37 | — |
| TN | $83.37 | — |
| TX | $83.37 | — |
| UT | $83.37 | — |
| VA | $83.37 | — |
| VI | $70.86 | — |
| VT | $83.37 | — |
| WA | $79.51 | — |
| WI | $70.86 | — |
| WV | $83.37 | — |
| WY | $83.37 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $435.05 to $540.68 depending on state and rural status.
Former-CBA payment limits: ceiling $511.82 · floor $435.05
| State | Non-rural | Rural |
|---|---|---|
| AK | $486.51 | — |
| AL | $511.82 | — |
| AR | $435.05 | — |
| AZ | $506.69 | — |
| CA | $481.71 | — |
| CO | $511.82 | — |
| CT | $511.82 | — |
| DC | $450.57 | — |
| DE | $450.57 | — |
| FL | $511.82 | — |
| GA | $511.82 | — |
| HI | $520.20 | — |
| IA | $481.71 | — |
| ID | $511.82 | — |
| IL | $511.82 | — |
| IN | $481.71 | — |
| KS | $481.71 | — |
| KY | $511.82 | — |
| LA | $435.05 | — |
| MA | $511.82 | — |
| MD | $450.57 | — |
| ME | $511.82 | — |
| MI | $464.51 | — |
| MN | $450.57 | — |
| MO | $435.05 | — |
| MS | $511.82 | — |
| MT | $511.82 | — |
| NC | $511.82 | — |
| ND | $511.82 | — |
| NE | $481.71 | — |
| NH | $511.82 | — |
| NJ | $450.57 | — |
| NM | $435.05 | — |
| NV | $506.69 | — |
| NY | $462.10 | — |
| OH | $474.54 | — |
| OK | $435.05 | — |
| OR | $435.05 | — |
| PA | $450.57 | — |
| PR | $540.68 | — |
| RI | $511.82 | — |
| SC | $511.82 | — |
| SD | $511.82 | — |
| TN | $511.82 | — |
| TX | $511.82 | — |
| UT | $511.82 | — |
| VA | $511.82 | — |
| VI | $462.10 | — |
| VT | $511.82 | — |
| WA | $511.82 | — |
| WI | $450.57 | — |
| WV | $474.54 | — |
| WY | $511.82 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0615 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 E0615 with confidence
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