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E0743 — External lower extremity nerve stimulator for restless legs syndrome, each

HCPCS Level II E-code · short descriptor: “Ext low ext nerve stimu rls”

Code system
HCPCS Level II
Family
E — Durable medical equipment
Medicare coverage status
Carrier judgment — coverage decided by the DME MAC
DMEPOS payment category
Capped rental
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.

E0743 Medicare fee schedule (April 2026)

RR — Monthly rental Capped rental

Medicare allowable: $242.20 in all listed states.

Former-CBA payment limits: ceiling $242.20 · floor $205.87

StateNon-ruralRural
AK$242.20
AL$242.20
AR$242.20
AZ$242.20
CA$242.20
CO$242.20
CT$242.20
DC$242.20
DE$242.20
FL$242.20
GA$242.20
HI$242.20
IA$242.20
ID$242.20
IL$242.20
IN$242.20
KS$242.20
KY$242.20
LA$242.20
MA$242.20
MD$242.20
ME$242.20
MI$242.20
MN$242.20
MO$242.20
MS$242.20
MT$242.20
NC$242.20
ND$242.20
NE$242.20
NH$242.20
NJ$242.20
NM$242.20
NV$242.20
NY$242.20
OH$242.20
OK$242.20
OR$242.20
PA$242.20
PR$242.20
RI$242.20
SC$242.20
SD$242.20
TN$242.20
TX$242.20
UT$242.20
VA$242.20
VI$242.20
VT$242.20
WA$242.20
WI$242.20
WV$242.20
WY$242.20
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

Related E-codes

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