E0776 — Iv pole
HCPCS Level II E-code
- 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
- 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.
E0776 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $173.42 to $194.69 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $186.15 | — |
| AL | $173.42 | $173.42 |
| AR | $173.42 | $173.42 |
| AZ | $173.42 | $173.42 |
| CA | $183.72 | $185.21 |
| CO | $183.72 | $193.87 |
| CT | $183.72 | $193.87 |
| DC | $183.72 | $193.87 |
| DE | $183.72 | $193.87 |
| FL | $183.72 | $193.87 |
| GA | $173.42 | $173.42 |
| HI | $192.68 | — |
| IA | $178.92 | $178.92 |
| ID | $183.72 | $193.87 |
| IL | $183.72 | $193.87 |
| IN | $183.72 | $193.87 |
| KS | $183.72 | $193.87 |
| KY | $173.42 | $173.42 |
| LA | $173.42 | $173.42 |
| MA | $183.72 | $193.87 |
| MD | $183.72 | $193.87 |
| ME | $183.72 | $193.87 |
| MI | $183.72 | $193.87 |
| MN | $173.42 | $173.42 |
| MO | $183.72 | $193.87 |
| MS | $183.72 | $193.87 |
| MT | $183.72 | $193.87 |
| NC | $183.72 | $193.87 |
| ND | $183.72 | $191.93 |
| NE | $173.42 | $173.42 |
| NH | $173.42 | $173.42 |
| NJ | $173.42 | $173.42 |
| NM | $183.72 | $191.76 |
| NV | $173.42 | $173.42 |
| NY | $173.42 | $173.42 |
| OH | $183.72 | $193.87 |
| OK | $178.62 | $178.62 |
| OR | $183.72 | $193.87 |
| PA | $183.72 | $193.87 |
| PR | $194.69 | — |
| RI | $183.72 | $193.87 |
| SC | $173.42 | $173.42 |
| SD | $183.72 | $191.93 |
| TN | $183.72 | $187.01 |
| TX | $173.42 | $173.42 |
| UT | $183.72 | $193.87 |
| VA | $183.72 | $186.62 |
| VI | $173.42 | — |
| VT | $173.42 | $173.42 |
| WA | $183.72 | $193.87 |
| WI | $183.72 | $193.87 |
| WV | $183.72 | $193.87 |
| WY | $183.72 | $191.93 |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $18.37 to $34.18 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $32.57 | — |
| AL | $18.37 | $20.48 |
| AR | $18.37 | $20.48 |
| AZ | $18.37 | $22.47 |
| CA | $18.37 | $22.47 |
| CO | $18.37 | $21.91 |
| CT | $18.37 | $22.47 |
| DC | $18.37 | $22.47 |
| DE | $18.37 | $22.47 |
| FL | $18.37 | $21.43 |
| GA | $18.37 | $20.48 |
| HI | $34.18 | — |
| IA | $18.37 | $20.48 |
| ID | $18.37 | $22.47 |
| IL | $18.37 | $22.47 |
| IN | $18.37 | $22.47 |
| KS | $18.37 | $20.48 |
| KY | $18.37 | $20.48 |
| LA | $18.37 | $22.47 |
| MA | $18.37 | $22.47 |
| MD | $18.37 | $22.47 |
| ME | $18.37 | $22.47 |
| MI | $18.37 | $20.48 |
| MN | $18.37 | $20.48 |
| MO | $18.37 | $20.48 |
| MS | $18.37 | $20.67 |
| MT | $18.37 | $22.47 |
| NC | $18.37 | $20.48 |
| ND | $18.37 | $20.48 |
| NE | $18.37 | $20.48 |
| NH | $18.37 | $22.47 |
| NJ | $18.37 | $22.47 |
| NM | $18.37 | $20.48 |
| NV | $18.37 | $22.47 |
| NY | $18.37 | $20.48 |
| OH | $18.37 | $22.47 |
| OK | $18.37 | $20.48 |
| OR | $18.37 | $20.48 |
| PA | $18.37 | $22.47 |
| PR | $22.04 | — |
| RI | $18.37 | $22.47 |
| SC | $18.37 | $20.48 |
| SD | $18.37 | $20.48 |
| TN | $18.37 | $20.48 |
| TX | $18.37 | $20.48 |
| UT | $18.37 | $22.47 |
| VA | $18.37 | $22.47 |
| VI | $20.48 | — |
| VT | $18.37 | $22.47 |
| WA | $18.37 | $22.47 |
| WI | $18.37 | $22.47 |
| WV | $18.37 | $22.47 |
| WY | $18.37 | $20.48 |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $127.60 to $146.04 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $139.61 | — |
| AL | $127.60 | $127.60 |
| AR | $127.60 | $127.60 |
| AZ | $128.52 | $128.52 |
| CA | $137.80 | $138.90 |
| CO | $137.80 | $143.96 |
| CT | $137.80 | $143.96 |
| DC | $137.80 | $143.96 |
| DE | $137.80 | $143.96 |
| FL | $137.80 | $143.96 |
| GA | $127.60 | $127.60 |
| HI | $144.50 | — |
| IA | $134.17 | $134.17 |
| ID | $137.80 | $143.96 |
| IL | $137.80 | $143.96 |
| IN | $137.80 | $143.96 |
| KS | $137.80 | $143.96 |
| KY | $127.60 | $127.60 |
| LA | $127.60 | $127.60 |
| MA | $137.80 | $143.96 |
| MD | $137.80 | $143.96 |
| ME | $137.80 | $143.96 |
| MI | $137.80 | $143.96 |
| MN | $127.60 | $127.60 |
| MO | $137.80 | $143.96 |
| MS | $137.80 | $143.96 |
| MT | $137.80 | $143.96 |
| NC | $137.80 | $143.96 |
| ND | $137.80 | $143.96 |
| NE | $127.60 | $127.60 |
| NH | $127.60 | $127.60 |
| NJ | $127.60 | $127.60 |
| NM | $137.80 | $143.82 |
| NV | $128.52 | $128.52 |
| NY | $127.60 | $127.60 |
| OH | $137.80 | $143.96 |
| OK | $133.97 | $133.97 |
| OR | $127.60 | $127.60 |
| PA | $137.80 | $143.96 |
| PR | $146.04 | — |
| RI | $137.80 | $143.96 |
| SC | $127.60 | $127.60 |
| SD | $137.80 | $143.96 |
| TN | $137.80 | $140.25 |
| TX | $127.60 | $127.60 |
| UT | $137.80 | $143.96 |
| VA | $137.80 | $139.98 |
| VI | $127.60 | — |
| VT | $127.60 | $127.60 |
| WA | $137.80 | $143.96 |
| WI | $137.80 | $143.96 |
| WV | $137.80 | $143.96 |
| WY | $137.80 | $143.96 |
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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