E0692 — Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 4 foot panel
HCPCS Level II E-code · short descriptor: “Uvl sys panel 4 ft”
- 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
- 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.
E0692 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $1608.10 to $1929.74 depending on state and rural status.
Former-CBA payment limits: ceiling $1608.10 · floor $1366.89
| State | Non-rural | Rural |
|---|---|---|
| AK | $1608.10 | — |
| AL | $1608.10 | — |
| AR | $1608.10 | — |
| AZ | $1608.10 | — |
| CA | $1608.10 | — |
| CO | $1608.10 | — |
| CT | $1608.10 | — |
| DC | $1608.10 | — |
| DE | $1608.10 | — |
| FL | $1608.10 | — |
| GA | $1608.10 | — |
| HI | $1608.10 | — |
| IA | $1608.10 | — |
| ID | $1608.10 | — |
| IL | $1608.10 | — |
| IN | $1608.10 | — |
| KS | $1608.10 | — |
| KY | $1608.10 | — |
| LA | $1608.10 | — |
| MA | $1608.10 | — |
| MD | $1608.10 | — |
| ME | $1608.10 | — |
| MI | $1608.10 | — |
| MN | $1608.10 | — |
| MO | $1608.10 | — |
| MS | $1608.10 | — |
| MT | $1608.10 | — |
| NC | $1608.10 | — |
| ND | $1608.10 | — |
| NE | $1608.10 | — |
| NH | $1608.10 | — |
| NJ | $1608.10 | — |
| NM | $1608.10 | — |
| NV | $1608.10 | — |
| NY | $1608.10 | — |
| OH | $1608.10 | — |
| OK | $1608.10 | — |
| OR | $1608.10 | — |
| PA | $1608.10 | — |
| PR | $1929.74 | — |
| RI | $1608.10 | — |
| SC | $1608.10 | — |
| SD | $1608.10 | — |
| TN | $1608.10 | — |
| TX | $1608.10 | — |
| UT | $1608.10 | — |
| VA | $1608.10 | — |
| VI | $1608.10 | — |
| VT | $1608.10 | — |
| WA | $1608.10 | — |
| WI | $1608.10 | — |
| WV | $1608.10 | — |
| WY | $1608.10 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $155.26 to $192.98 depending on state and rural status.
Former-CBA payment limits: ceiling $160.78 · floor $136.66
| State | Non-rural | Rural |
|---|---|---|
| AK | $160.78 | — |
| AL | $160.78 | — |
| AR | $160.78 | — |
| AZ | $160.78 | — |
| CA | $160.78 | — |
| CO | $160.78 | — |
| CT | $160.78 | — |
| DC | $160.78 | — |
| DE | $160.78 | — |
| FL | $160.78 | — |
| GA | $160.78 | — |
| HI | $160.78 | — |
| IA | $160.78 | — |
| ID | $160.78 | — |
| IL | $160.78 | — |
| IN | $160.78 | — |
| KS | $160.78 | — |
| KY | $160.78 | — |
| LA | $160.78 | — |
| MA | $160.78 | — |
| MD | $160.75 | — |
| ME | $160.78 | — |
| MI | $160.78 | — |
| MN | $160.78 | — |
| MO | $160.78 | — |
| MS | $160.78 | — |
| MT | $160.78 | — |
| NC | $160.78 | — |
| ND | $160.78 | — |
| NE | $160.78 | — |
| NH | $160.78 | — |
| NJ | $160.78 | — |
| NM | $160.78 | — |
| NV | $160.78 | — |
| NY | $160.78 | — |
| OH | $160.78 | — |
| OK | $160.78 | — |
| OR | $160.78 | — |
| PA | $160.78 | — |
| PR | $192.98 | — |
| RI | $160.78 | — |
| SC | $160.78 | — |
| SD | $160.78 | — |
| TN | $160.78 | — |
| TX | $160.78 | — |
| UT | $160.78 | — |
| VA | $160.78 | — |
| VI | $160.78 | — |
| VT | $160.78 | — |
| WA | $160.78 | — |
| WI | $160.78 | — |
| WV | $155.26 | — |
| WY | $160.78 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $1206.07 to $1447.30 depending on state and rural status.
Former-CBA payment limits: ceiling $1206.07 · floor $1025.16
| State | Non-rural | Rural |
|---|---|---|
| AK | $1206.07 | — |
| AL | $1206.07 | — |
| AR | $1206.07 | — |
| AZ | $1206.07 | — |
| CA | $1206.07 | — |
| CO | $1206.07 | — |
| CT | $1206.07 | — |
| DC | $1206.07 | — |
| DE | $1206.07 | — |
| FL | $1206.07 | — |
| GA | $1206.07 | — |
| HI | $1206.07 | — |
| IA | $1206.07 | — |
| ID | $1206.07 | — |
| IL | $1206.07 | — |
| IN | $1206.07 | — |
| KS | $1206.07 | — |
| KY | $1206.07 | — |
| LA | $1206.07 | — |
| MA | $1206.07 | — |
| MD | $1206.07 | — |
| ME | $1206.07 | — |
| MI | $1206.07 | — |
| MN | $1206.07 | — |
| MO | $1206.07 | — |
| MS | $1206.07 | — |
| MT | $1206.07 | — |
| NC | $1206.07 | — |
| ND | $1206.07 | — |
| NE | $1206.07 | — |
| NH | $1206.07 | — |
| NJ | $1206.07 | — |
| NM | $1206.07 | — |
| NV | $1206.07 | — |
| NY | $1206.07 | — |
| OH | $1206.07 | — |
| OK | $1206.07 | — |
| OR | $1206.07 | — |
| PA | $1206.07 | — |
| PR | $1447.30 | — |
| RI | $1206.07 | — |
| SC | $1206.07 | — |
| SD | $1206.07 | — |
| TN | $1206.07 | — |
| TX | $1206.07 | — |
| UT | $1206.07 | — |
| VA | $1206.07 | — |
| VI | $1206.07 | — |
| VT | $1206.07 | — |
| WA | $1206.07 | — |
| WI | $1206.07 | — |
| WV | $1206.07 | — |
| WY | $1206.07 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0692 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 E0692 with confidence
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