E0779 — Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater
HCPCS Level II E-code · short descriptor: “Amb infusion pump mechanical”
- 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.
E0779 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $20.95 to $27.85 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $27.85 | — |
| AL | $23.47 | $23.47 |
| AR | $23.83 | $23.83 |
| AZ | $22.24 | $22.24 |
| CA | $22.83 | $22.83 |
| CO | $23.83 | $23.83 |
| CT | $23.83 | $23.83 |
| DC | $23.83 | $23.83 |
| DE | $23.41 | $23.41 |
| FL | $21.93 | $21.93 |
| GA | $23.27 | $23.27 |
| HI | $25.15 | — |
| IA | $23.83 | $23.83 |
| ID | $23.83 | $23.83 |
| IL | $23.83 | $23.83 |
| IN | $23.83 | $23.83 |
| KS | $23.83 | $23.83 |
| KY | $23.83 | $23.83 |
| LA | $23.55 | $23.55 |
| MA | $23.83 | $23.83 |
| MD | $22.61 | $22.61 |
| ME | $23.83 | $23.83 |
| MI | $22.96 | $22.96 |
| MN | $23.83 | $23.83 |
| MO | $23.83 | $23.83 |
| MS | $21.48 | $21.48 |
| MT | $21.62 | $21.62 |
| NC | $23.83 | $23.83 |
| ND | $21.57 | $21.57 |
| NE | $23.83 | $23.83 |
| NH | $23.83 | $23.83 |
| NJ | $23.83 | $23.83 |
| NM | $21.16 | $21.16 |
| NV | $22.78 | $22.78 |
| NY | $23.27 | $23.27 |
| OH | $23.83 | $23.83 |
| OK | $23.83 | $23.83 |
| OR | $23.83 | $23.83 |
| PA | $22.98 | $22.98 |
| PR | $25.98 | — |
| RI | $20.95 | $20.95 |
| SC | $23.11 | $23.11 |
| SD | $23.52 | $23.52 |
| TN | $22.49 | $22.49 |
| TX | $23.83 | $23.83 |
| UT | $23.83 | $23.83 |
| VA | $22.64 | $22.64 |
| VI | $23.27 | — |
| VT | $23.83 | $23.83 |
| WA | $23.83 | $23.83 |
| WI | $23.83 | $23.83 |
| WV | $23.18 | $23.18 |
| WY | $23.43 | $23.43 |
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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