E2101 — Blood glucose monitor with integrated lancing/blood sample
HCPCS Level II E-code · short descriptor: “Bld glucose monitor w lance”
- 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.
E2101 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $268.71 to $322.42 depending on state and rural status.
Former-CBA payment limits: ceiling $268.71 · floor $228.40
| State | Non-rural | Rural |
|---|---|---|
| AK | $268.71 | — |
| AL | $268.71 | — |
| AR | $268.71 | — |
| AZ | $268.71 | — |
| CA | $268.71 | — |
| CO | $268.71 | — |
| CT | $268.71 | — |
| DC | $268.71 | — |
| DE | $268.71 | — |
| FL | $268.71 | — |
| GA | $268.71 | — |
| HI | $268.71 | — |
| IA | $268.71 | — |
| ID | $268.71 | — |
| IL | $268.71 | — |
| IN | $268.71 | — |
| KS | $268.71 | — |
| KY | $268.71 | — |
| LA | $268.71 | — |
| MA | $268.71 | — |
| MD | $268.71 | — |
| ME | $268.71 | — |
| MI | $268.71 | — |
| MN | $268.71 | — |
| MO | $268.71 | — |
| MS | $268.71 | — |
| MT | $268.71 | — |
| NC | $268.71 | — |
| ND | $268.71 | — |
| NE | $268.71 | — |
| NH | $268.71 | — |
| NJ | $268.71 | — |
| NM | $268.71 | — |
| NV | $268.71 | — |
| NY | $268.71 | — |
| OH | $268.71 | — |
| OK | $268.71 | — |
| OR | $268.71 | — |
| PA | $268.71 | — |
| PR | $322.42 | — |
| RI | $268.71 | — |
| SC | $268.71 | — |
| SD | $268.71 | — |
| TN | $268.71 | — |
| TX | $268.71 | — |
| UT | $268.71 | — |
| VA | $268.71 | — |
| VI | $268.71 | — |
| VT | $268.71 | — |
| WA | $268.71 | — |
| WI | $268.71 | — |
| WV | $268.71 | — |
| WY | $268.71 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $26.88 to $32.25 depending on state and rural status.
Former-CBA payment limits: ceiling $26.88 · floor $22.85
| State | Non-rural | Rural |
|---|---|---|
| AK | $26.88 | — |
| AL | $26.88 | — |
| AR | $26.88 | — |
| AZ | $26.88 | — |
| CA | $26.88 | — |
| CO | $26.88 | — |
| CT | $26.88 | — |
| DC | $26.88 | — |
| DE | $26.88 | — |
| FL | $26.88 | — |
| GA | $26.88 | — |
| HI | $26.88 | — |
| IA | $26.88 | — |
| ID | $26.88 | — |
| IL | $26.88 | — |
| IN | $26.88 | — |
| KS | $26.88 | — |
| KY | $26.88 | — |
| LA | $26.88 | — |
| MA | $26.88 | — |
| MD | $26.88 | — |
| ME | $26.88 | — |
| MI | $26.88 | — |
| MN | $26.88 | — |
| MO | $26.88 | — |
| MS | $26.88 | — |
| MT | $26.88 | — |
| NC | $26.88 | — |
| ND | $26.88 | — |
| NE | $26.88 | — |
| NH | $26.88 | — |
| NJ | $26.88 | — |
| NM | $26.88 | — |
| NV | $26.88 | — |
| NY | $26.88 | — |
| OH | $26.88 | — |
| OK | $26.88 | — |
| OR | $26.88 | — |
| PA | $26.88 | — |
| PR | $32.25 | — |
| RI | $26.88 | — |
| SC | $26.88 | — |
| SD | $26.88 | — |
| TN | $26.88 | — |
| TX | $26.88 | — |
| UT | $26.88 | — |
| VA | $26.88 | — |
| VI | $26.88 | — |
| VT | $26.88 | — |
| WA | $26.88 | — |
| WI | $26.88 | — |
| WV | $26.88 | — |
| WY | $26.88 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $201.54 to $241.84 depending on state and rural status.
Former-CBA payment limits: ceiling $201.54 · floor $171.31
| State | Non-rural | Rural |
|---|---|---|
| AK | $201.54 | — |
| AL | $201.54 | — |
| AR | $201.54 | — |
| AZ | $201.54 | — |
| CA | $201.54 | — |
| CO | $201.54 | — |
| CT | $201.54 | — |
| DC | $201.54 | — |
| DE | $201.54 | — |
| FL | $201.54 | — |
| GA | $201.54 | — |
| HI | $201.54 | — |
| IA | $201.54 | — |
| ID | $201.54 | — |
| IL | $201.54 | — |
| IN | $201.54 | — |
| KS | $201.54 | — |
| KY | $201.54 | — |
| LA | $201.54 | — |
| MA | $201.54 | — |
| MD | $201.54 | — |
| ME | $201.54 | — |
| MI | $201.54 | — |
| MN | $201.54 | — |
| MO | $201.54 | — |
| MS | $201.54 | — |
| MT | $201.54 | — |
| NC | $201.54 | — |
| ND | $201.54 | — |
| NE | $201.54 | — |
| NH | $201.54 | — |
| NJ | $201.54 | — |
| NM | $201.54 | — |
| NV | $201.54 | — |
| NY | $201.54 | — |
| OH | $201.54 | — |
| OK | $201.54 | — |
| OR | $201.54 | — |
| PA | $201.54 | — |
| PR | $241.84 | — |
| RI | $201.54 | — |
| SC | $201.54 | — |
| SD | $201.54 | — |
| TN | $201.54 | — |
| TX | $201.54 | — |
| UT | $201.54 | — |
| VA | $201.54 | — |
| VI | $201.54 | — |
| VT | $201.54 | — |
| WA | $201.54 | — |
| WI | $201.54 | — |
| WV | $201.54 | — |
| WY | $201.54 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E2101 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
Related E-codes
Bill E2101 with confidence
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