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
- 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.
E1372 Medicare fee schedule (April 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 |
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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