E0694 — Ultraviolet multidirectional light therapy system in 6 foot cabinet, includes bulbs/lamps, timer and eye protection
HCPCS Level II E-code · short descriptor: “Uvl md cabinet sys 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 — 82 items in force on 2026-10-30 (2 of them in some states only); 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 — 105 items in force on 2026-10-30; 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.
E0694 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $6309.58 to $7571.49 depending on state and rural status.
Former-CBA payment limits: ceiling $6309.58 · floor $5363.14
| State | Non-rural | Rural |
|---|---|---|
| AK | $6309.58 | — |
| AL | $6309.58 | — |
| AR | $6309.58 | — |
| AZ | $6309.58 | — |
| CA | $6309.58 | — |
| CO | $6309.58 | — |
| CT | $6309.58 | — |
| DC | $6309.58 | — |
| DE | $6309.58 | — |
| FL | $6309.58 | — |
| GA | $6309.58 | — |
| HI | $6309.58 | — |
| IA | $6309.58 | — |
| ID | $6309.58 | — |
| IL | $6309.58 | — |
| IN | $6309.58 | — |
| KS | $6309.58 | — |
| KY | $6309.58 | — |
| LA | $6309.58 | — |
| MA | $6309.58 | — |
| MD | $6309.58 | — |
| ME | $6309.58 | — |
| MI | $6309.58 | — |
| MN | $6309.58 | — |
| MO | $6309.58 | — |
| MS | $6309.58 | — |
| MT | $6309.58 | — |
| NC | $6309.58 | — |
| ND | $6309.58 | — |
| NE | $6309.58 | — |
| NH | $6309.58 | — |
| NJ | $6309.58 | — |
| NM | $6309.58 | — |
| NV | $6309.58 | — |
| NY | $6309.58 | — |
| OH | $6309.58 | — |
| OK | $6309.58 | — |
| OR | $6309.58 | — |
| PA | $6309.58 | — |
| PR | $7571.49 | — |
| RI | $6309.58 | — |
| SC | $6309.58 | — |
| SD | $6309.58 | — |
| TN | $6309.58 | — |
| TX | $6309.58 | — |
| UT | $6309.58 | — |
| VA | $6309.58 | — |
| VI | $6309.58 | — |
| VT | $6309.58 | — |
| WA | $6309.58 | — |
| WI | $6309.58 | — |
| WV | $6309.58 | — |
| WY | $6309.58 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $630.95 to $757.15 depending on state and rural status.
Former-CBA payment limits: ceiling $630.95 · floor $536.31
| State | Non-rural | Rural |
|---|---|---|
| AK | $630.95 | — |
| AL | $630.95 | — |
| AR | $630.95 | — |
| AZ | $630.95 | — |
| CA | $630.95 | — |
| CO | $630.95 | — |
| CT | $630.95 | — |
| DC | $630.95 | — |
| DE | $630.95 | — |
| FL | $630.95 | — |
| GA | $630.95 | — |
| HI | $630.95 | — |
| IA | $630.95 | — |
| ID | $630.95 | — |
| IL | $630.95 | — |
| IN | $630.95 | — |
| KS | $630.95 | — |
| KY | $630.95 | — |
| LA | $630.95 | — |
| MA | $630.95 | — |
| MD | $630.95 | — |
| ME | $630.95 | — |
| MI | $630.95 | — |
| MN | $630.95 | — |
| MO | $630.95 | — |
| MS | $630.95 | — |
| MT | $630.95 | — |
| NC | $630.95 | — |
| ND | $630.95 | — |
| NE | $630.95 | — |
| NH | $630.95 | — |
| NJ | $630.95 | — |
| NM | $630.95 | — |
| NV | $630.95 | — |
| NY | $630.95 | — |
| OH | $630.95 | — |
| OK | $630.95 | — |
| OR | $630.95 | — |
| PA | $630.95 | — |
| PR | $757.15 | — |
| RI | $630.95 | — |
| SC | $630.95 | — |
| SD | $630.95 | — |
| TN | $630.95 | — |
| TX | $630.95 | — |
| UT | $630.95 | — |
| VA | $630.95 | — |
| VI | $630.95 | — |
| VT | $630.95 | — |
| WA | $630.95 | — |
| WI | $630.95 | — |
| WV | $630.95 | — |
| WY | $630.95 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $4732.22 to $5678.63 depending on state and rural status.
Former-CBA payment limits: ceiling $4732.22 · floor $4022.39
| State | Non-rural | Rural |
|---|---|---|
| AK | $4732.22 | — |
| AL | $4732.22 | — |
| AR | $4732.22 | — |
| AZ | $4732.22 | — |
| CA | $4732.22 | — |
| CO | $4732.22 | — |
| CT | $4732.22 | — |
| DC | $4732.22 | — |
| DE | $4732.22 | — |
| FL | $4732.22 | — |
| GA | $4732.22 | — |
| HI | $4732.22 | — |
| IA | $4732.22 | — |
| ID | $4732.22 | — |
| IL | $4732.22 | — |
| IN | $4732.22 | — |
| KS | $4732.22 | — |
| KY | $4732.22 | — |
| LA | $4732.22 | — |
| MA | $4732.22 | — |
| MD | $4732.22 | — |
| ME | $4732.22 | — |
| MI | $4732.22 | — |
| MN | $4732.22 | — |
| MO | $4732.22 | — |
| MS | $4732.22 | — |
| MT | $4732.22 | — |
| NC | $4732.22 | — |
| ND | $4732.22 | — |
| NE | $4732.22 | — |
| NH | $4732.22 | — |
| NJ | $4732.22 | — |
| NM | $4732.22 | — |
| NV | $4732.22 | — |
| NY | $4732.22 | — |
| OH | $4732.22 | — |
| OK | $4732.22 | — |
| OR | $4732.22 | — |
| PA | $4732.22 | — |
| PR | $5678.63 | — |
| RI | $4732.22 | — |
| SC | $4732.22 | — |
| SD | $4732.22 | — |
| TN | $4732.22 | — |
| TX | $4732.22 | — |
| UT | $4732.22 | — |
| VA | $4732.22 | — |
| VI | $4732.22 | — |
| VT | $4732.22 | — |
| WA | $4732.22 | — |
| WI | $4732.22 | — |
| WV | $4732.22 | — |
| WY | $4732.22 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0694 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 E0694 with confidence
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