E1372 — Immersion external heater for nebulizer
HCPCS Level II E-code · short descriptor: “Oxy suppl heater for nebuliz”
- 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.
E1372 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $136.61 to $208.94 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $177.23 | — |
| AL | $163.04 | $183.24 |
| AR | $163.04 | $200.66 |
| AZ | $136.61 | $183.24 |
| CA | $141.69 | $183.24 |
| CO | $160.93 | $200.66 |
| CT | $155.35 | $200.66 |
| DC | $149.01 | $200.66 |
| DE | $149.01 | $200.66 |
| FL | $163.04 | $183.24 |
| GA | $163.04 | $183.24 |
| HI | $183.65 | — |
| IA | $139.81 | $190.30 |
| ID | $160.93 | $200.66 |
| IL | $168.99 | $200.66 |
| IN | $168.99 | $189.92 |
| KS | $139.81 | $190.30 |
| KY | $163.04 | $189.52 |
| LA | $163.04 | $200.66 |
| MA | $155.35 | $200.66 |
| MD | $149.01 | $200.66 |
| ME | $155.35 | $200.66 |
| MI | $168.99 | $200.66 |
| MN | $139.81 | $191.66 |
| MO | $139.81 | $190.56 |
| MS | $163.04 | $183.24 |
| MT | $160.93 | $200.66 |
| NC | $163.04 | $187.76 |
| ND | $139.81 | $188.85 |
| NE | $139.81 | $190.30 |
| NH | $155.35 | $200.66 |
| NJ | $149.01 | $200.66 |
| NM | $136.61 | $190.09 |
| NV | $141.69 | $183.24 |
| NY | $149.01 | $200.66 |
| OH | $168.99 | $183.24 |
| OK | $136.61 | $190.09 |
| OR | $141.69 | $200.66 |
| PA | $149.01 | $200.66 |
| PR | $208.94 | — |
| RI | $155.35 | $200.66 |
| SC | $163.04 | $183.24 |
| SD | $139.81 | $188.85 |
| TN | $163.04 | $199.15 |
| TX | $136.61 | $200.66 |
| UT | $160.93 | $200.66 |
| VA | $163.04 | $200.66 |
| VI | $200.66 | — |
| VT | $155.35 | $200.66 |
| WA | $141.69 | $200.66 |
| WI | $168.99 | $200.66 |
| WV | $163.04 | $183.24 |
| WY | $160.93 | $188.85 |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $13.66 to $44.05 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $41.76 | — |
| AL | $16.30 | $22.80 |
| AR | $16.30 | $25.33 |
| AZ | $13.66 | $22.80 |
| CA | $14.17 | $25.33 |
| CO | $16.09 | $25.33 |
| CT | $15.54 | $25.33 |
| DC | $14.90 | $25.33 |
| DE | $14.90 | $25.33 |
| FL | $16.30 | $22.80 |
| GA | $16.30 | $22.80 |
| HI | $44.05 | — |
| IA | $13.98 | $22.80 |
| ID | $16.09 | $22.80 |
| IL | $16.90 | $25.33 |
| IN | $16.90 | $25.33 |
| KS | $13.98 | $25.33 |
| KY | $16.30 | $22.80 |
| LA | $16.30 | $25.33 |
| MA | $15.54 | $25.33 |
| MD | $14.90 | $25.33 |
| ME | $15.54 | $25.33 |
| MI | $16.90 | $22.80 |
| MN | $13.98 | $22.80 |
| MO | $13.98 | $25.33 |
| MS | $16.30 | $22.80 |
| MT | $16.09 | $25.33 |
| NC | $16.30 | $22.80 |
| ND | $13.98 | $22.80 |
| NE | $13.98 | $22.80 |
| NH | $15.54 | $25.33 |
| NJ | $14.90 | $25.33 |
| NM | $13.66 | $22.80 |
| NV | $14.17 | $22.80 |
| NY | $14.90 | $22.80 |
| OH | $16.90 | $22.80 |
| OK | $13.66 | $22.80 |
| OR | $14.17 | $22.80 |
| PA | $14.90 | $25.33 |
| PR | $24.02 | — |
| RI | $15.54 | $25.33 |
| SC | $16.30 | $22.80 |
| SD | $13.98 | $22.80 |
| TN | $16.30 | $22.80 |
| TX | $13.66 | $25.33 |
| UT | $16.09 | $25.33 |
| VA | $16.30 | $25.33 |
| VI | $22.80 | — |
| VT | $15.54 | $25.33 |
| WA | $14.17 | $25.33 |
| WI | $16.90 | $25.33 |
| WV | $16.30 | $22.80 |
| WY | $16.09 | $22.80 |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $102.46 to $156.71 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $132.92 | — |
| AL | $122.28 | $136.47 |
| AR | $122.28 | $149.36 |
| AZ | $102.46 | $136.47 |
| CA | $106.27 | $136.47 |
| CO | $120.69 | $149.36 |
| CT | $116.52 | $149.36 |
| DC | $111.76 | $149.36 |
| DE | $111.76 | $149.36 |
| FL | $122.28 | $136.47 |
| GA | $122.28 | $136.47 |
| HI | $137.74 | — |
| IA | $104.86 | $142.73 |
| ID | $120.69 | $149.36 |
| IL | $126.74 | $149.36 |
| IN | $126.74 | $142.44 |
| KS | $104.86 | $142.73 |
| KY | $122.28 | $142.14 |
| LA | $122.28 | $149.36 |
| MA | $116.52 | $149.36 |
| MD | $111.76 | $149.36 |
| ME | $116.52 | $149.36 |
| MI | $126.74 | $149.36 |
| MN | $104.86 | $143.75 |
| MO | $104.86 | $142.92 |
| MS | $122.28 | $136.47 |
| MT | $120.69 | $149.36 |
| NC | $122.28 | $140.81 |
| ND | $104.86 | $142.97 |
| NE | $104.86 | $142.73 |
| NH | $116.52 | $149.36 |
| NJ | $111.76 | $136.47 |
| NM | $102.46 | $142.58 |
| NV | $106.27 | $136.47 |
| NY | $111.76 | $149.36 |
| OH | $126.74 | $136.47 |
| OK | $102.46 | $142.58 |
| OR | $106.27 | $149.36 |
| PA | $111.76 | $149.36 |
| PR | $156.71 | — |
| RI | $116.52 | $149.36 |
| SC | $122.28 | $136.47 |
| SD | $104.86 | $141.63 |
| TN | $122.28 | $149.36 |
| TX | $102.46 | $149.36 |
| UT | $120.69 | $149.36 |
| VA | $122.28 | $149.36 |
| VI | $149.36 | — |
| VT | $116.52 | $149.36 |
| WA | $106.27 | $149.36 |
| WI | $126.74 | $149.36 |
| WV | $122.28 | $136.47 |
| WY | $120.69 | $141.63 |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E1372 at 1 unit per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Nature of Equipment.
Common denial codes to watch
Related E-codes
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