E0783 — Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.)
HCPCS Level II E-code · short descriptor: “Programmable 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.
E0783 Medicare fee schedule (October 2026)
NU + KF — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $9917.33 to $11667.45 depending on state and rural status.
Former-CBA payment limits: ceiling $11667.45 · floor $9917.33
| State | Non-rural | Rural |
|---|---|---|
| AL | $11667.45 | — |
| AR | $11667.45 | — |
| AZ | $11667.45 | — |
| CA | $11667.45 | — |
| CO | $9917.33 | — |
| CT | $11667.45 | — |
| DC | $11132.83 | — |
| DE | $11132.83 | — |
| FL | $11667.45 | — |
| GA | $11667.45 | — |
| IA | $9917.33 | — |
| ID | $11299.33 | — |
| IL | $11667.45 | — |
| IN | $11667.45 | — |
| KS | $11667.45 | — |
| KY | $11667.45 | — |
| LA | $11667.45 | — |
| MA | $11667.45 | — |
| MD | $11455.50 | — |
| ME | $11667.45 | — |
| MI | $11667.45 | — |
| MN | $11667.45 | — |
| MO | $11667.45 | — |
| MS | $11667.45 | — |
| MT | $9917.33 | — |
| NC | $9917.33 | — |
| ND | $9917.33 | — |
| NE | $11667.45 | — |
| NH | $11667.45 | — |
| NJ | $11132.83 | — |
| NM | $11587.61 | — |
| NV | $11667.45 | — |
| NY | $11667.45 | — |
| OH | $11667.45 | — |
| OK | $11587.61 | — |
| OR | $11667.45 | — |
| PA | $11132.83 | — |
| RI | $11667.45 | — |
| SC | $11667.45 | — |
| SD | $9917.33 | — |
| TN | $9917.33 | — |
| TX | $11587.61 | — |
| UT | $11636.29 | — |
| VA | $11561.43 | — |
| VT | $11667.45 | — |
| WA | $11667.45 | — |
| WI | $11667.45 | — |
| WV | $11667.45 | — |
| WY | $9917.33 | — |
RR + KF — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $991.75 to $1166.77 depending on state and rural status.
Former-CBA payment limits: ceiling $1166.77 · floor $991.75
| State | Non-rural | Rural |
|---|---|---|
| AL | $1166.77 | — |
| AR | $1166.77 | — |
| AZ | $1166.77 | — |
| CA | $1166.77 | — |
| CO | $991.75 | — |
| CT | $1166.77 | — |
| DC | $1113.32 | — |
| DE | $1113.32 | — |
| FL | $1166.77 | — |
| GA | $1166.77 | — |
| IA | $991.75 | — |
| ID | $1129.92 | — |
| IL | $1166.77 | — |
| IN | $1166.77 | — |
| KS | $1166.77 | — |
| KY | $1166.77 | — |
| LA | $1166.77 | — |
| MA | $1166.77 | — |
| MD | $1145.55 | — |
| ME | $1166.77 | — |
| MI | $1166.77 | — |
| MN | $1166.77 | — |
| MO | $1166.77 | — |
| MS | $1166.77 | — |
| MT | $991.75 | — |
| NC | $991.75 | — |
| ND | $991.75 | — |
| NE | $1166.77 | — |
| NH | $1166.77 | — |
| NJ | $1113.32 | — |
| NM | $1158.82 | — |
| NV | $1166.77 | — |
| NY | $1166.77 | — |
| OH | $1166.77 | — |
| OK | $1158.82 | — |
| OR | $1166.77 | — |
| PA | $1113.32 | — |
| RI | $1166.77 | — |
| SC | $1166.77 | — |
| SD | $991.75 | — |
| TN | $991.75 | — |
| TX | $1158.82 | — |
| UT | $1163.68 | — |
| VA | $1156.15 | — |
| VT | $1166.77 | — |
| WA | $1166.77 | — |
| WI | $1166.74 | — |
| WV | $1166.77 | — |
| WY | $991.75 | — |
UE + KF — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $7438.04 to $8750.63 depending on state and rural status.
Former-CBA payment limits: ceiling $8750.63 · floor $7438.04
| State | Non-rural | Rural |
|---|---|---|
| AL | $8750.63 | — |
| AR | $8750.63 | — |
| AZ | $8750.63 | — |
| CA | $8750.63 | — |
| CO | $7438.04 | — |
| CT | $8750.63 | — |
| DC | $8349.62 | — |
| DE | $8349.62 | — |
| FL | $8750.63 | — |
| GA | $8750.63 | — |
| IA | $7438.04 | — |
| ID | $8474.50 | — |
| IL | $8750.63 | — |
| IN | $8750.63 | — |
| KS | $8750.63 | — |
| KY | $8750.63 | — |
| LA | $8750.63 | — |
| MA | $8750.63 | — |
| MD | $8591.59 | — |
| ME | $8750.63 | — |
| MI | $8750.63 | — |
| MN | $8750.63 | — |
| MO | $8750.63 | — |
| MS | $8750.63 | — |
| MT | $7438.04 | — |
| NC | $7438.04 | — |
| ND | $7438.04 | — |
| NE | $8750.63 | — |
| NH | $8750.63 | — |
| NJ | $8349.62 | — |
| NM | $8690.74 | — |
| NV | $8750.63 | — |
| NY | $8750.63 | — |
| OH | $8750.63 | — |
| OK | $8690.74 | — |
| OR | $8750.63 | — |
| PA | $8349.62 | — |
| RI | $8750.63 | — |
| SC | $8750.63 | — |
| SD | $7438.04 | — |
| TN | $7438.04 | — |
| TX | $8690.74 | — |
| UT | $8727.24 | — |
| VA | $8671.08 | — |
| VT | $8750.63 | — |
| WA | $8750.63 | — |
| WI | $8750.63 | — |
| WV | $8750.63 | — |
| WY | $7438.04 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0783 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
Bill E0783 with confidence
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