E0784 — External ambulatory infusion pump, insulin
HCPCS Level II E-code · short descriptor: “Ext amb infusn pump insulin”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Special coverage instructions apply
- 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.
E0784 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $557.75 to $635.90 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $576.36 | — |
| AL | $557.75 | $576.42 |
| AR | $557.75 | $576.42 |
| AZ | $557.75 | $576.36 |
| CA | $557.75 | $576.36 |
| CO | $557.75 | $576.42 |
| CT | $557.75 | $576.42 |
| DC | $557.75 | $576.36 |
| DE | $557.75 | $576.42 |
| FL | $557.75 | $576.36 |
| GA | $557.75 | $576.42 |
| HI | $576.36 | — |
| IA | $557.75 | $576.36 |
| ID | $557.75 | $576.36 |
| IL | $557.75 | $576.36 |
| IN | $557.75 | $576.42 |
| KS | $557.75 | $576.36 |
| KY | $557.75 | $576.42 |
| LA | $557.75 | $576.42 |
| MA | $557.75 | $576.42 |
| MD | $557.75 | $576.36 |
| ME | $557.75 | $576.42 |
| MI | $557.75 | $576.42 |
| MN | $557.75 | $576.42 |
| MO | $557.75 | $576.42 |
| MS | $557.75 | $576.42 |
| MT | $557.75 | $576.36 |
| NC | $557.75 | $576.42 |
| ND | $557.75 | $576.36 |
| NE | $557.75 | $576.36 |
| NH | $557.75 | $576.42 |
| NJ | $557.75 | $576.42 |
| NM | $557.75 | $576.42 |
| NV | $557.75 | $576.36 |
| NY | $557.75 | $576.42 |
| OH | $557.75 | $576.36 |
| OK | $557.75 | $576.42 |
| OR | $557.75 | $576.36 |
| PA | $557.75 | $576.42 |
| PR | $635.90 | — |
| RI | $557.75 | $576.42 |
| SC | $557.75 | $576.42 |
| SD | $557.75 | $576.36 |
| TN | $557.75 | $576.42 |
| TX | $557.75 | $576.36 |
| UT | $557.75 | $576.42 |
| VA | $557.75 | $576.36 |
| VI | $576.42 | — |
| VT | $557.75 | $576.42 |
| WA | $557.75 | $576.36 |
| WI | $557.75 | $576.42 |
| WV | $557.75 | $576.36 |
| WY | $557.75 | $576.36 |
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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