MyMedi-AI

E0782 — Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.)

HCPCS Level II E-code · short descriptor: “Non-programble infusion pump”

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
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.

E0782 Medicare fee schedule (October 2026)

NU + KF — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $5200.92 to $6118.73 depending on state and rural status.

Former-CBA payment limits: ceiling $6118.73 · floor $5200.92

StateNon-ruralRural
AL$6118.73—
AR$5308.19—
AZ$6118.73—
CA$6118.73—
CO$5200.92—
CT$5200.92—
DC$6118.73—
DE$6118.73—
FL$6118.73—
GA$6118.73—
IA$6118.73—
ID$6118.73—
IL$5320.72—
IN$5200.92—
KS$6118.73—
KY$6118.73—
LA$5458.44—
MA$5200.92—
MD$6118.73—
ME$5200.92—
MI$5200.92—
MN$5200.92—
MO$6118.73—
MS$6118.73—
MT$5200.92—
NC$6118.73—
ND$5200.92—
NE$6118.73—
NH$5200.92—
NJ$6118.73—
NM$6118.73—
NV$6118.73—
NY$6118.73—
OH$5773.44—
OK$6118.73—
OR$6118.73—
PA$6118.73—
RI$5200.92—
SC$6118.73—
SD$5200.92—
TN$6118.73—
TX$5458.44—
UT$5200.92—
VA$5200.92—
VT$5200.92—
WA$6118.73—
WI$5200.92—
WV$5773.44—
WY$5200.92—

RR + KF — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $520.12 to $611.90 depending on state and rural status.

Former-CBA payment limits: ceiling $611.90 · floor $520.12

StateNon-ruralRural
AL$611.90—
AR$530.84—
AZ$611.90—
CA$611.90—
CO$520.12—
CT$520.12—
DC$611.90—
DE$611.90—
FL$611.90—
GA$611.90—
IA$611.90—
ID$611.90—
IL$532.11—
IN$520.12—
KS$611.90—
KY$611.90—
LA$545.80—
MA$520.12—
MD$611.90—
ME$520.12—
MI$520.12—
MN$520.12—
MO$611.90—
MS$611.90—
MT$520.12—
NC$611.90—
ND$520.12—
NE$611.90—
NH$520.12—
NJ$611.90—
NM$611.90—
NV$611.90—
NY$611.90—
OH$577.34—
OK$611.90—
OR$611.90—
PA$611.90—
RI$520.12—
SC$611.90—
SD$520.12—
TN$611.90—
TX$545.80—
UT$520.12—
VA$520.12—
VT$520.12—
WA$611.90—
WI$520.12—
WV$577.34—
WY$520.12—

UE + KF — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $3900.68 to $4589.04 depending on state and rural status.

Former-CBA payment limits: ceiling $4589.04 · floor $3900.68

StateNon-ruralRural
AL$4589.04—
AR$3981.17—
AZ$4589.04—
CA$4589.04—
CO$3900.68—
CT$3900.68—
DC$4589.04—
DE$4589.04—
FL$4589.04—
GA$4589.04—
IA$4589.04—
ID$4589.04—
IL$3990.56—
IN$3900.68—
KS$4589.04—
KY$4589.04—
LA$4093.81—
MA$3900.68—
MD$4589.04—
ME$3900.68—
MI$3900.68—
MN$3900.68—
MO$4589.04—
MS$4589.04—
MT$3900.68—
NC$4589.04—
ND$3900.68—
NE$4589.04—
NH$3900.68—
NJ$4589.04—
NM$4589.04—
NV$4589.04—
NY$4589.04—
OH$4330.10—
OK$4589.04—
OR$4589.04—
PA$4589.04—
RI$3900.68—
SC$4589.04—
SD$3900.68—
TN$4589.04—
TX$4093.81—
UT$3900.68—
VA$3900.68—
VT$3900.68—
WA$4589.04—
WI$3900.68—
WV$4330.10—
WY$3900.68—
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 E0782 at 1 unit per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: CMS Policy.

Common denial codes to watch

Related E-codes

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