MyMedi-AI

E0617 — External defibrillator with integrated electrocardiogram analysis

HCPCS Level II E-code · short descriptor: “Automatic ext defibrillator”

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
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.

E0617 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $433.30 to $520.01 depending on state and rural status.

Former-CBA payment limits: ceiling $433.30 · floor $368.31

StateNon-ruralRural
AK$433.30—
AL$433.30—
AR$433.30—
AZ$433.30—
CA$433.30—
CO$433.30—
CT$433.30—
DC$433.30—
DE$433.30—
FL$433.30—
GA$433.30—
HI$433.30—
IA$433.30—
ID$433.30—
IL$433.30—
IN$433.30—
KS$433.30—
KY$433.30—
LA$433.30—
MA$433.30—
MD$433.30—
ME$433.30—
MI$433.30—
MN$433.30—
MO$433.30—
MS$433.30—
MT$433.30—
NC$433.30—
ND$433.30—
NE$433.30—
NH$433.30—
NJ$433.30—
NM$433.30—
NV$433.30—
NY$433.30—
OH$433.30—
OK$433.30—
OR$433.30—
PA$433.30—
PR$520.01—
RI$433.30—
SC$433.30—
SD$433.30—
TN$433.30—
TX$433.30—
UT$433.30—
VA$433.30—
VI$433.30—
VT$433.30—
WA$433.30—
WI$433.30—
WV$433.30—
WY$433.30—

RR + KF — Monthly rental Capped rental

Medicare allowable ranges from $481.08 to $577.30 depending on state and rural status.

Former-CBA payment limits: ceiling $481.08 · floor $408.92

StateNon-ruralRural
AK$481.08—
AL$481.08—
AR$481.08—
AZ$481.08—
CA$481.08—
CO$481.08—
CT$481.08—
DC$481.08—
DE$481.08—
FL$481.08—
GA$481.08—
HI$481.08—
IA$481.08—
ID$481.08—
IL$481.08—
IN$481.08—
KS$481.08—
KY$481.08—
LA$481.08—
MA$481.08—
MD$481.08—
ME$481.08—
MI$481.08—
MN$481.08—
MO$481.08—
MS$481.08—
MT$481.08—
NC$481.08—
ND$481.08—
NE$481.08—
NH$481.08—
NJ$481.08—
NM$481.08—
NV$481.08—
NY$481.08—
OH$481.08—
OK$481.08—
OR$481.08—
PA$481.08—
PR$577.30—
RI$481.08—
SC$481.08—
SD$481.08—
TN$481.08—
TX$481.08—
UT$481.08—
VA$481.08—
VI$481.08—
VT$481.08—
WA$481.08—
WI$481.08—
WV$481.08—
WY$481.08—
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps E0617 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 E0617 with confidence

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