E0731 — Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric)

HCPCS Level II E-code · short descriptor: “Conductive garment for tens/”

Code system: HCPCS Level II
Family: E — Durable medical equipment
Medicare coverage status: Special coverage instructions apply
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.

E0731 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $87.58 to $480.99 depending on state and rural status.

State	Non-rural	Rural
AK	$453.53	—
AL	$114.47	$311.40
AR	$114.47	$311.40
AZ	$90.25	$311.40
CA	$90.15	$311.40
CO	$87.58	$311.40
CT	$99.06	$273.27
DC	$107.30	$311.40
DE	$107.30	$311.40
FL	$114.47	$311.40
GA	$114.47	$311.40
HI	$480.99	—
IA	$92.51	$273.27
ID	$87.58	$279.45
IL	$111.96	$273.27
IN	$111.96	$273.27
KS	$92.51	$273.27
KY	$114.47	$311.40
LA	$114.47	$311.40
MA	$99.06	$273.27
MD	$107.30	$311.40
ME	$99.06	$273.27
MI	$111.96	$273.27
MN	$92.51	$273.27
MO	$92.51	$273.27
MS	$114.47	$311.40
MT	$87.58	$311.40
NC	$114.47	$311.40
ND	$92.51	$311.40
NE	$92.51	$273.27
NH	$99.06	$273.27
NJ	$107.30	$311.40
NM	$90.25	$311.40
NV	$90.15	$311.40
NY	$107.30	$273.27
OH	$111.96	$273.27
OK	$90.25	$311.40
OR	$90.15	$311.40
PA	$107.30	$311.40
PR	$322.63	—
RI	$99.06	$273.27
SC	$114.47	$311.40
SD	$92.51	$311.40
TN	$114.47	$311.40
TX	$90.25	$273.27
UT	$87.58	$311.40
VA	$114.47	$294.72
VI	$273.27	—
VT	$99.06	$273.27
WA	$90.15	$311.40
WI	$111.96	$273.27
WV	$114.47	$273.27
WY	$87.58	$311.40

Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026. 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.

Common denial codes to watch

CO-50 medical necessity

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