MyMedi-AI

E2001 — Suction pump, home model, portable or stationary, electric, any type, for use with external urine and/or fecal management system

HCPCS Level II E-code · short descriptor: “Suct pum ext mgmt sys”

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
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.

E2001 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $55.46 to $96.87 depending on state and rural status.

StateNon-ruralRural
AK$90.60—
AL$55.46—
AR$55.46—
AZ$60.33—
CA$65.25—
CO$65.25—
CT$65.25—
DC$65.25—
DE$65.25—
FL$65.25—
GA$58.03—
HI$96.87—
IA$65.25—
ID$65.25—
IL$57.09—
IN$55.46—
KS$65.25—
KY$55.46—
LA$55.46—
MA$65.25—
MD$65.25—
ME$65.25—
MI$55.46—
MN$65.25—
MO$60.10—
MS$55.46—
MT$65.25—
NC$65.25—
ND$58.75—
NE$58.83—
NH$65.25—
NJ$62.74—
NM$62.24—
NV$61.75—
NY$65.25—
OH$65.25—
OK$56.50—
OR$56.89—
PA$65.25—
PR$61.44—
RI$65.25—
SC$58.03—
SD$63.98—
TN$55.46—
TX$65.25—
UT$65.25—
VA$55.46—
VI$65.25—
VT$65.25—
WA$65.25—
WI$55.46—
WV$65.25—
WY$63.75—
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps E2001 at 1 unit per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Code Descriptor / CPT Instruction.

Common denial codes to watch

CO-50 medical necessityCO-151 frequency/units

Related E-codes

E2000

Bill E2001 with confidence

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