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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.

StateNon-ruralRural
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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