E0693 — Ultraviolet light therapy system panel, includes bulbs/lamps, timer and eye protection, 6 foot panel
HCPCS Level II E-code · short descriptor: “Uvl sys panel 6 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 2026-10-26; 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 2026-10-26; 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.
E0693 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $1982.33 to $2378.79 depending on state and rural status.
Former-CBA payment limits: ceiling $1982.33 · floor $1684.98
| State | Non-rural | Rural |
|---|---|---|
| AK | $1982.33 | — |
| AL | $1982.33 | — |
| AR | $1982.33 | — |
| AZ | $1982.33 | — |
| CA | $1982.33 | — |
| CO | $1982.33 | — |
| CT | $1982.33 | — |
| DC | $1982.33 | — |
| DE | $1982.33 | — |
| FL | $1982.33 | — |
| GA | $1982.33 | — |
| HI | $1982.33 | — |
| IA | $1982.33 | — |
| ID | $1982.33 | — |
| IL | $1982.33 | — |
| IN | $1982.33 | — |
| KS | $1982.33 | — |
| KY | $1982.33 | — |
| LA | $1982.33 | — |
| MA | $1982.33 | — |
| MD | $1982.33 | — |
| ME | $1982.33 | — |
| MI | $1982.33 | — |
| MN | $1982.33 | — |
| MO | $1982.33 | — |
| MS | $1982.33 | — |
| MT | $1982.33 | — |
| NC | $1982.33 | — |
| ND | $1982.33 | — |
| NE | $1982.33 | — |
| NH | $1982.33 | — |
| NJ | $1982.33 | — |
| NM | $1982.33 | — |
| NV | $1982.33 | — |
| NY | $1982.33 | — |
| OH | $1982.33 | — |
| OK | $1982.33 | — |
| OR | $1982.33 | — |
| PA | $1982.33 | — |
| PR | $2378.79 | — |
| RI | $1982.33 | — |
| SC | $1982.33 | — |
| SD | $1982.33 | — |
| TN | $1982.33 | — |
| TX | $1982.33 | — |
| UT | $1982.33 | — |
| VA | $1982.33 | — |
| VI | $1982.33 | — |
| VT | $1982.33 | — |
| WA | $1982.33 | — |
| WI | $1982.33 | — |
| WV | $1982.33 | — |
| WY | $1982.33 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $198.25 to $237.88 depending on state and rural status.
Former-CBA payment limits: ceiling $198.25 · floor $168.51
| State | Non-rural | Rural |
|---|---|---|
| AK | $198.25 | — |
| AL | $198.25 | — |
| AR | $198.25 | — |
| AZ | $198.25 | — |
| CA | $198.25 | — |
| CO | $198.25 | — |
| CT | $198.25 | — |
| DC | $198.25 | — |
| DE | $198.25 | — |
| FL | $198.25 | — |
| GA | $198.25 | — |
| HI | $198.25 | — |
| IA | $198.25 | — |
| ID | $198.25 | — |
| IL | $198.25 | — |
| IN | $198.25 | — |
| KS | $198.25 | — |
| KY | $198.25 | — |
| LA | $198.25 | — |
| MA | $198.25 | — |
| MD | $198.25 | — |
| ME | $198.25 | — |
| MI | $198.25 | — |
| MN | $198.25 | — |
| MO | $198.25 | — |
| MS | $198.25 | — |
| MT | $198.25 | — |
| NC | $198.25 | — |
| ND | $198.25 | — |
| NE | $198.25 | — |
| NH | $198.25 | — |
| NJ | $198.25 | — |
| NM | $198.25 | — |
| NV | $198.25 | — |
| NY | $198.25 | — |
| OH | $198.25 | — |
| OK | $198.25 | — |
| OR | $198.25 | — |
| PA | $198.25 | — |
| PR | $237.88 | — |
| RI | $198.25 | — |
| SC | $198.25 | — |
| SD | $198.25 | — |
| TN | $198.25 | — |
| TX | $198.25 | — |
| UT | $198.25 | — |
| VA | $198.25 | — |
| VI | $198.25 | — |
| VT | $198.25 | — |
| WA | $198.25 | — |
| WI | $198.25 | — |
| WV | $198.25 | — |
| WY | $198.25 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $1486.74 to $1784.13 depending on state and rural status.
Former-CBA payment limits: ceiling $1486.74 · floor $1263.73
| State | Non-rural | Rural |
|---|---|---|
| AK | $1486.74 | — |
| AL | $1486.74 | — |
| AR | $1486.74 | — |
| AZ | $1486.74 | — |
| CA | $1486.74 | — |
| CO | $1486.74 | — |
| CT | $1486.74 | — |
| DC | $1486.74 | — |
| DE | $1486.74 | — |
| FL | $1486.74 | — |
| GA | $1486.74 | — |
| HI | $1486.74 | — |
| IA | $1486.74 | — |
| ID | $1486.74 | — |
| IL | $1486.74 | — |
| IN | $1486.74 | — |
| KS | $1486.74 | — |
| KY | $1486.74 | — |
| LA | $1486.74 | — |
| MA | $1486.74 | — |
| MD | $1486.74 | — |
| ME | $1486.74 | — |
| MI | $1486.74 | — |
| MN | $1486.74 | — |
| MO | $1486.74 | — |
| MS | $1486.74 | — |
| MT | $1486.74 | — |
| NC | $1486.74 | — |
| ND | $1486.74 | — |
| NE | $1486.74 | — |
| NH | $1486.74 | — |
| NJ | $1486.74 | — |
| NM | $1486.74 | — |
| NV | $1486.74 | — |
| NY | $1486.74 | — |
| OH | $1486.74 | — |
| OK | $1486.74 | — |
| OR | $1486.74 | — |
| PA | $1486.74 | — |
| PR | $1784.13 | — |
| RI | $1486.74 | — |
| SC | $1486.74 | — |
| SD | $1486.74 | — |
| TN | $1486.74 | — |
| TX | $1486.74 | — |
| UT | $1486.74 | — |
| VA | $1486.74 | — |
| VI | $1486.74 | — |
| VT | $1486.74 | — |
| WA | $1486.74 | — |
| WI | $1486.74 | — |
| WV | $1486.74 | — |
| WY | $1486.74 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0693 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
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