E0691 — Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less
HCPCS Level II E-code · short descriptor: “Uvl pnl 2 sq ft or less”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Carrier judgment — coverage decided by the DME MAC
- 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.
E0691 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $1280.61 to $1536.77 depending on state and rural status.
Former-CBA payment limits: ceiling $1280.61 · floor $1088.52
| State | Non-rural | Rural |
|---|---|---|
| AK | $1280.61 | — |
| AL | $1280.61 | — |
| AR | $1280.61 | — |
| AZ | $1280.61 | — |
| CA | $1280.61 | — |
| CO | $1280.61 | — |
| CT | $1280.61 | — |
| DC | $1280.61 | — |
| DE | $1280.61 | — |
| FL | $1280.61 | — |
| GA | $1280.61 | — |
| HI | $1280.61 | — |
| IA | $1280.61 | — |
| ID | $1280.61 | — |
| IL | $1280.61 | — |
| IN | $1280.61 | — |
| KS | $1280.61 | — |
| KY | $1280.61 | — |
| LA | $1280.61 | — |
| MA | $1280.61 | — |
| MD | $1280.61 | — |
| ME | $1280.61 | — |
| MI | $1280.61 | — |
| MN | $1280.61 | — |
| MO | $1280.61 | — |
| MS | $1280.61 | — |
| MT | $1280.61 | — |
| NC | $1280.61 | — |
| ND | $1280.61 | — |
| NE | $1280.61 | — |
| NH | $1280.61 | — |
| NJ | $1280.61 | — |
| NM | $1280.61 | — |
| NV | $1280.61 | — |
| NY | $1280.61 | — |
| OH | $1280.61 | — |
| OK | $1280.61 | — |
| OR | $1280.61 | — |
| PA | $1280.61 | — |
| PR | $1536.77 | — |
| RI | $1280.61 | — |
| SC | $1280.61 | — |
| SD | $1280.61 | — |
| TN | $1280.61 | — |
| TX | $1280.61 | — |
| UT | $1280.61 | — |
| VA | $1280.61 | — |
| VI | $1280.61 | — |
| VT | $1280.61 | — |
| WA | $1280.61 | — |
| WI | $1280.61 | — |
| WV | $1280.61 | — |
| WY | $1280.61 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $128.05 to $153.67 depending on state and rural status.
Former-CBA payment limits: ceiling $128.05 · floor $108.84
| State | Non-rural | Rural |
|---|---|---|
| AK | $128.05 | — |
| AL | $128.05 | — |
| AR | $128.05 | — |
| AZ | $128.05 | — |
| CA | $128.05 | — |
| CO | $128.05 | — |
| CT | $128.05 | — |
| DC | $128.05 | — |
| DE | $128.05 | — |
| FL | $128.05 | — |
| GA | $128.05 | — |
| HI | $128.05 | — |
| IA | $128.05 | — |
| ID | $128.05 | — |
| IL | $128.05 | — |
| IN | $128.05 | — |
| KS | $128.05 | — |
| KY | $128.05 | — |
| LA | $128.05 | — |
| MA | $128.05 | — |
| MD | $128.05 | — |
| ME | $128.05 | — |
| MI | $128.05 | — |
| MN | $128.05 | — |
| MO | $128.05 | — |
| MS | $128.05 | — |
| MT | $128.05 | — |
| NC | $128.05 | — |
| ND | $128.05 | — |
| NE | $128.05 | — |
| NH | $128.05 | — |
| NJ | $128.05 | — |
| NM | $128.05 | — |
| NV | $128.05 | — |
| NY | $128.05 | — |
| OH | $128.05 | — |
| OK | $128.05 | — |
| OR | $128.05 | — |
| PA | $128.05 | — |
| PR | $153.67 | — |
| RI | $128.05 | — |
| SC | $128.05 | — |
| SD | $128.05 | — |
| TN | $128.05 | — |
| TX | $128.05 | — |
| UT | $128.05 | — |
| VA | $128.05 | — |
| VI | $128.05 | — |
| VT | $128.05 | — |
| WA | $128.05 | — |
| WI | $128.05 | — |
| WV | $128.05 | — |
| WY | $128.05 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $960.46 to $1152.57 depending on state and rural status.
Former-CBA payment limits: ceiling $960.46 · floor $816.39
| State | Non-rural | Rural |
|---|---|---|
| AK | $960.46 | — |
| AL | $960.46 | — |
| AR | $960.46 | — |
| AZ | $960.46 | — |
| CA | $960.46 | — |
| CO | $960.46 | — |
| CT | $960.46 | — |
| DC | $960.46 | — |
| DE | $960.46 | — |
| FL | $960.46 | — |
| GA | $960.46 | — |
| HI | $960.46 | — |
| IA | $960.46 | — |
| ID | $960.46 | — |
| IL | $960.46 | — |
| IN | $960.46 | — |
| KS | $960.46 | — |
| KY | $960.46 | — |
| LA | $960.46 | — |
| MA | $960.46 | — |
| MD | $960.46 | — |
| ME | $960.46 | — |
| MI | $960.46 | — |
| MN | $960.46 | — |
| MO | $960.46 | — |
| MS | $960.46 | — |
| MT | $960.46 | — |
| NC | $960.46 | — |
| ND | $960.46 | — |
| NE | $960.46 | — |
| NH | $960.46 | — |
| NJ | $960.46 | — |
| NM | $960.46 | — |
| NV | $960.46 | — |
| NY | $960.46 | — |
| OH | $960.46 | — |
| OK | $960.46 | — |
| OR | $960.46 | — |
| PA | $960.46 | — |
| PR | $1152.57 | — |
| RI | $960.46 | — |
| SC | $960.46 | — |
| SD | $960.46 | — |
| TN | $960.46 | — |
| TX | $960.46 | — |
| UT | $960.46 | — |
| VA | $960.46 | — |
| VI | $960.46 | — |
| VT | $960.46 | — |
| WA | $960.46 | — |
| WI | $960.46 | — |
| WV | $960.46 | — |
| WY | $960.46 | — |
Common denial codes to watch
Related E-codes
Bill E0691 with confidence
MyMedi-AI scrubs whole claims against NCCI pairs, MUE limits, modifier rules, and PA flags before you submit — built for DME teams, no PHI stored on our servers.
Start free trial Run a CMS-0057-F readiness checkPrefer DIY compliance? Self-audit documentation kits for DME suppliers →