MyMedi-AI

E0730 — Transcutaneous electrical nerve stimulation (tens) device, four or more leads, for multiple nerve stimulation

HCPCS Level II E-code · short descriptor: “Tens four lead”

Code system
HCPCS Level II
Family
E — Durable medical equipment
Medicare coverage status
Special coverage instructions apply
DMEPOS payment category
TENS devices
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.

E0730 Medicare fee schedule (October 2026)

NU — New purchase TENS devices

Medicare allowable ranges from $68.53 to $425.83 depending on state and rural status.

StateNon-ruralRural
AK$299.38—
AL$92.34$310.21
AR$92.34$305.48
AZ$70.37$281.86
CA$68.64$270.61
CO$68.53$308.09
CT$82.15$310.21
DC$83.22$287.73
DE$83.22$310.21
FL$92.34$310.21
GA$92.34$310.21
HI$425.83—
IA$70.77$297.77
ID$68.53$310.21
IL$92.34$291.73
IN$92.34$302.84
KS$70.77$304.68
KY$92.34$285.58
LA$92.34$279.69
MA$82.15$310.21
MD$83.22$310.21
ME$82.15$310.21
MI$92.34$310.21
MN$70.77$300.19
MO$70.77$304.68
MS$92.34$310.21
MT$68.53$310.21
NC$92.34$310.21
ND$70.77$310.21
NE$70.77$304.68
NH$82.15$310.21
NJ$83.22$310.21
NM$70.37$310.21
NV$68.64$298.00
NY$83.22$288.63
OH$92.34$307.55
OK$70.37$293.93
OR$68.64$289.38
PA$83.22$270.61
PR$300.41—
RI$82.15$310.21
SC$92.34$310.21
SD$70.77$310.21
TN$92.34$303.42
TX$70.37$301.09
UT$68.53$310.21
VA$92.34$293.01
VI$288.63—
VT$82.15$310.21
WA$68.64$310.21
WI$92.34$310.21
WV$92.34$307.99
WY$68.53$310.21
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps E0730 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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