E2104 — Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge
HCPCS Level II E-code · short descriptor: “Glucose monitor w cartridge”
- 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.
E2104 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable: $54.52 in all listed states.
Former-CBA payment limits: ceiling $54.52 · floor $46.34
| State | Non-rural | Rural |
|---|---|---|
| AK | $54.52 | — |
| AL | $54.52 | — |
| AR | $54.52 | — |
| AZ | $54.52 | — |
| CA | $54.52 | — |
| CO | $54.52 | — |
| CT | $54.52 | — |
| DC | $54.52 | — |
| DE | $54.52 | — |
| FL | $54.52 | — |
| GA | $54.52 | — |
| HI | $54.52 | — |
| IA | $54.52 | — |
| ID | $54.52 | — |
| IL | $54.52 | — |
| IN | $54.52 | — |
| KS | $54.52 | — |
| KY | $54.52 | — |
| LA | $54.52 | — |
| MA | $54.52 | — |
| MD | $54.52 | — |
| ME | $54.52 | — |
| MI | $54.52 | — |
| MN | $54.52 | — |
| MO | $54.52 | — |
| MS | $54.52 | — |
| MT | $54.52 | — |
| NC | $54.52 | — |
| ND | $54.52 | — |
| NE | $54.52 | — |
| NH | $54.52 | — |
| NJ | $54.52 | — |
| NM | $54.52 | — |
| NV | $54.52 | — |
| NY | $54.52 | — |
| OH | $54.52 | — |
| OK | $54.52 | — |
| OR | $54.52 | — |
| PA | $54.52 | — |
| PR | $54.52 | — |
| RI | $54.52 | — |
| SC | $54.52 | — |
| SD | $54.52 | — |
| TN | $54.52 | — |
| TX | $54.52 | — |
| UT | $54.52 | — |
| VA | $54.52 | — |
| VI | $54.52 | — |
| VT | $54.52 | — |
| WA | $54.52 | — |
| WI | $54.52 | — |
| WV | $54.52 | — |
| WY | $54.52 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable: $5.47 in all listed states.
Former-CBA payment limits: ceiling $5.47 · floor $4.65
| State | Non-rural | Rural |
|---|---|---|
| AK | $5.47 | — |
| AL | $5.47 | — |
| AR | $5.47 | — |
| AZ | $5.47 | — |
| CA | $5.47 | — |
| CO | $5.47 | — |
| CT | $5.47 | — |
| DC | $5.47 | — |
| DE | $5.47 | — |
| FL | $5.47 | — |
| GA | $5.47 | — |
| HI | $5.47 | — |
| IA | $5.47 | — |
| ID | $5.47 | — |
| IL | $5.47 | — |
| IN | $5.47 | — |
| KS | $5.47 | — |
| KY | $5.47 | — |
| LA | $5.47 | — |
| MA | $5.47 | — |
| MD | $5.47 | — |
| ME | $5.47 | — |
| MI | $5.47 | — |
| MN | $5.47 | — |
| MO | $5.47 | — |
| MS | $5.47 | — |
| MT | $5.47 | — |
| NC | $5.47 | — |
| ND | $5.47 | — |
| NE | $5.47 | — |
| NH | $5.47 | — |
| NJ | $5.47 | — |
| NM | $5.47 | — |
| NV | $5.47 | — |
| NY | $5.47 | — |
| OH | $5.47 | — |
| OK | $5.47 | — |
| OR | $5.47 | — |
| PA | $5.47 | — |
| PR | $5.47 | — |
| RI | $5.47 | — |
| SC | $5.47 | — |
| SD | $5.47 | — |
| TN | $5.47 | — |
| TX | $5.47 | — |
| UT | $5.47 | — |
| VA | $5.47 | — |
| VI | $5.47 | — |
| VT | $5.47 | — |
| WA | $5.47 | — |
| WI | $5.47 | — |
| WV | $5.47 | — |
| WY | $5.47 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable: $40.92 in all listed states.
Former-CBA payment limits: ceiling $40.92 · floor $34.78
| State | Non-rural | Rural |
|---|---|---|
| AK | $40.92 | — |
| AL | $40.92 | — |
| AR | $40.92 | — |
| AZ | $40.92 | — |
| CA | $40.92 | — |
| CO | $40.92 | — |
| CT | $40.92 | — |
| DC | $40.92 | — |
| DE | $40.92 | — |
| FL | $40.92 | — |
| GA | $40.92 | — |
| HI | $40.92 | — |
| IA | $40.92 | — |
| ID | $40.92 | — |
| IL | $40.92 | — |
| IN | $40.92 | — |
| KS | $40.92 | — |
| KY | $40.92 | — |
| LA | $40.92 | — |
| MA | $40.92 | — |
| MD | $40.92 | — |
| ME | $40.92 | — |
| MI | $40.92 | — |
| MN | $40.92 | — |
| MO | $40.92 | — |
| MS | $40.92 | — |
| MT | $40.92 | — |
| NC | $40.92 | — |
| ND | $40.92 | — |
| NE | $40.92 | — |
| NH | $40.92 | — |
| NJ | $40.92 | — |
| NM | $40.92 | — |
| NV | $40.92 | — |
| NY | $40.92 | — |
| OH | $40.92 | — |
| OK | $40.92 | — |
| OR | $40.92 | — |
| PA | $40.92 | — |
| PR | $40.92 | — |
| RI | $40.92 | — |
| SC | $40.92 | — |
| SD | $40.92 | — |
| TN | $40.92 | — |
| TX | $40.92 | — |
| UT | $40.92 | — |
| VA | $40.92 | — |
| VI | $40.92 | — |
| VT | $40.92 | — |
| WA | $40.92 | — |
| WI | $40.92 | — |
| WV | $40.92 | — |
| WY | $40.92 | — |
Common denial codes to watch
Related E-codes
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