E1905 — Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software
HCPCS Level II E-code · short descriptor: “Vr cbt therapy”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Carrier judgment — coverage decided by the DME MAC
- 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.
E1905 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable: $674.77 in all listed states.
Former-CBA payment limits: ceiling $674.77 · floor $573.55
| State | Non-rural | Rural |
|---|---|---|
| AK | $674.77 | — |
| AL | $674.77 | — |
| AR | $674.77 | — |
| AZ | $674.77 | — |
| CA | $674.77 | — |
| CO | $674.77 | — |
| CT | $674.77 | — |
| DC | $674.77 | — |
| DE | $674.77 | — |
| FL | $674.77 | — |
| GA | $674.77 | — |
| HI | $674.77 | — |
| IA | $674.77 | — |
| ID | $674.77 | — |
| IL | $674.77 | — |
| IN | $674.77 | — |
| KS | $674.77 | — |
| KY | $674.77 | — |
| LA | $674.77 | — |
| MA | $674.77 | — |
| MD | $674.77 | — |
| ME | $674.77 | — |
| MI | $674.77 | — |
| MN | $674.77 | — |
| MO | $674.77 | — |
| MS | $674.77 | — |
| MT | $674.77 | — |
| NC | $674.77 | — |
| ND | $674.77 | — |
| NE | $674.77 | — |
| NH | $674.77 | — |
| NJ | $674.77 | — |
| NM | $674.77 | — |
| NV | $674.77 | — |
| NY | $674.77 | — |
| OH | $674.77 | — |
| OK | $674.77 | — |
| OR | $674.77 | — |
| PA | $674.77 | — |
| PR | $674.77 | — |
| RI | $674.77 | — |
| SC | $674.77 | — |
| SD | $674.77 | — |
| TN | $674.77 | — |
| TX | $674.77 | — |
| UT | $674.77 | — |
| VA | $674.77 | — |
| VI | $674.77 | — |
| VT | $674.77 | — |
| WA | $674.77 | — |
| WI | $674.77 | — |
| WV | $674.77 | — |
| WY | $674.77 | — |
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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