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E0681 — Non-pneumatic compression controller without calibrated gradient pressure

HCPCS Level II E-code · short descriptor: “Non pneu comp control w/o ca”

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.

E0681 Medicare fee schedule (April 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $88.84 to $134.47 depending on state and rural status.

StateNon-ruralRural
AK$88.84
AL$130.89
AR$130.89
AZ$129.28
CA$111.25
CO$130.89
CT$130.89
DC$130.89
DE$130.89
FL$130.89
GA$130.89
HI$95.00
IA$130.89
ID$130.89
IL$130.89
IN$114.68
KS$111.25
KY$130.89
LA$130.89
MA$111.25
MD$130.89
ME$111.25
MI$130.89
MN$118.19
MO$111.25
MS$130.89
MT$130.89
NC$130.89
ND$130.89
NE$111.25
NH$111.25
NJ$130.89
NM$130.89
NV$129.28
NY$111.25
OH$111.25
OK$119.87
OR$130.89
PA$130.89
PR$134.47
RI$130.89
SC$130.89
SD$130.89
TN$130.89
TX$130.89
UT$130.89
VA$111.25
VI$111.25
VT$111.25
WA$130.89
WI$130.89
WV$111.25
WY$130.89
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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