E0791 — Parenteral infusion pump, stationary, single or multi-channel
HCPCS Level II E-code · short descriptor: “Parenteral infusion pump sta”
- 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.
E0791 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $282.07 to $427.07 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $411.29 | — |
| AL | $367.48 | $375.25 |
| AR | $367.48 | $379.72 |
| AZ | $367.48 | $409.05 |
| CA | $367.48 | $409.05 |
| CO | $367.48 | $409.05 |
| CT | $367.48 | $409.05 |
| DC | $367.48 | $375.25 |
| DE | $367.48 | $375.25 |
| FL | $367.48 | $375.25 |
| GA | $367.48 | $375.25 |
| HI | $427.07 | — |
| IA | $367.48 | $409.05 |
| ID | $367.48 | $409.05 |
| IL | $367.48 | $409.05 |
| IN | $367.48 | $409.05 |
| KS | $367.48 | $409.05 |
| KY | $367.48 | $409.05 |
| LA | $367.48 | $375.25 |
| MA | $367.48 | $409.05 |
| MD | $367.48 | $375.25 |
| ME | $367.48 | $409.05 |
| MI | $367.48 | $409.05 |
| MN | $367.48 | $375.25 |
| MO | $367.48 | $409.05 |
| MS | $367.48 | $375.25 |
| MT | $367.48 | $375.25 |
| NC | $367.48 | $409.05 |
| ND | $367.48 | $375.25 |
| NE | $367.48 | $409.05 |
| NH | $367.48 | $409.05 |
| NJ | $367.48 | $375.25 |
| NM | $367.48 | $409.05 |
| NV | $367.48 | $409.05 |
| NY | $367.48 | $375.25 |
| OH | $367.48 | $375.25 |
| OK | $367.48 | $409.05 |
| OR | $367.48 | $409.05 |
| PA | $367.48 | $375.25 |
| PR | $282.07 | — |
| RI | $367.48 | $377.46 |
| SC | $367.48 | $398.68 |
| SD | $367.48 | $375.25 |
| TN | $367.48 | $409.05 |
| TX | $367.48 | $409.05 |
| UT | $367.48 | $375.41 |
| VA | $367.48 | $390.75 |
| VI | $375.25 | — |
| VT | $367.48 | $409.05 |
| WA | $367.48 | $409.05 |
| WI | $367.48 | $375.25 |
| WV | $367.48 | $375.25 |
| WY | $367.48 | $375.25 |
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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