MyMedi-AI

E2102 — Adjunctive, non-implanted continuous glucose monitor or receiver

HCPCS Level II E-code · short descriptor: “Adju cgm receiver/monitor”

Code system
HCPCS Level II
Family
E — Durable medical equipment
Medicare coverage status
Carrier judgment — coverage decided by the DME MAC
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.

E2102 Medicare fee schedule (October 2026)

NU + KF — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $189.08 to $239.22 depending on state and rural status.

StateNon-ruralRural
AK$225.89—
AL$211.82—
AR$236.15—
AZ$239.22—
CA$239.22—
CO$219.59—
CT$219.25—
DC$213.29—
DE$212.81—
FL$239.22—
GA$219.99—
HI$225.89—
IA$239.22—
ID$229.09—
IL$239.22—
IN$189.08—
KS$239.22—
KY$239.22—
LA$239.22—
MA$211.21—
MD$217.46—
ME$211.21—
MI$239.22—
MN$213.95—
MO$239.22—
MS$239.22—
MT$211.38—
NC$222.50—
ND$239.22—
NE$239.22—
NH$211.21—
NJ$215.06—
NM$239.22—
NV$239.22—
NY$239.22—
OH$239.22—
OK$239.22—
OR$211.66—
PA$205.90—
PR$225.89—
RI$229.99—
SC$239.22—
SD$239.22—
TN$239.22—
TX$239.22—
UT$239.22—
VA$216.70—
VI$239.22—
VT$211.21—
WA$239.22—
WI$208.45—
WV$239.22—
WY$233.37—

RR + KF — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $18.92 to $23.91 depending on state and rural status.

StateNon-ruralRural
AK$22.55—
AL$21.19—
AR$23.61—
AZ$23.91—
CA$23.91—
CO$21.97—
CT$21.93—
DC$21.34—
DE$21.28—
FL$23.91—
GA$22.00—
HI$22.55—
IA$23.91—
ID$22.91—
IL$23.91—
IN$18.92—
KS$23.91—
KY$23.91—
LA$23.91—
MA$21.13—
MD$21.75—
ME$21.13—
MI$23.91—
MN$21.40—
MO$23.91—
MS$23.91—
MT$21.14—
NC$22.25—
ND$23.91—
NE$23.91—
NH$21.13—
NJ$21.52—
NM$23.91—
NV$23.91—
NY$23.91—
OH$23.91—
OK$23.91—
OR$21.17—
PA$20.59—
PR$22.55—
RI$23.02—
SC$23.91—
SD$23.91—
TN$23.91—
TX$23.91—
UT$23.91—
VA$21.68—
VI$23.91—
VT$21.13—
WA$23.91—
WI$20.84—
WV$23.91—
WY$23.34—

UE + KF — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $141.83 to $179.42 depending on state and rural status.

StateNon-ruralRural
AK$169.42—
AL$158.88—
AR$177.14—
AZ$179.42—
CA$179.42—
CO$164.71—
CT$164.43—
DC$159.99—
DE$159.62—
FL$179.42—
GA$165.02—
HI$169.42—
IA$179.42—
ID$171.84—
IL$179.42—
IN$141.83—
KS$179.42—
KY$179.42—
LA$179.42—
MA$158.41—
MD$163.12—
ME$158.41—
MI$179.42—
MN$160.48—
MO$179.42—
MS$179.42—
MT$158.54—
NC$166.89—
ND$179.42—
NE$179.42—
NH$158.41—
NJ$161.29—
NM$179.42—
NV$179.42—
NY$179.42—
OH$179.42—
OK$179.42—
OR$158.77—
PA$154.45—
PR$169.42—
RI$172.51—
SC$179.42—
SD$179.42—
TN$179.42—
TX$179.42—
UT$179.42—
VA$162.55—
VI$179.42—
VT$158.41—
WA$179.42—
WI$156.36—
WV$179.42—
WY$175.03—
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 E2102 at 1 unit per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: CMS Policy.

Common denial codes to watch

Related E-codes

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