MyMedi-AI

E3200 — Gait modulation system, rhythmic auditory stimulation, including restricted therapy software, all components and accessories, prescription only

HCPCS Level II E-code · short descriptor: “Gait mod systm rhym auditory”

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.

E3200 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable: $1178.66 in all listed states.

Former-CBA payment limits: ceiling $1178.66 · floor $1001.86

StateNon-ruralRural
AK$1178.66—
AL$1178.66—
AR$1178.66—
AZ$1178.66—
CA$1178.66—
CO$1178.66—
CT$1178.66—
DC$1178.66—
DE$1178.66—
FL$1178.66—
GA$1178.66—
HI$1178.66—
IA$1178.66—
ID$1178.66—
IL$1178.66—
IN$1178.66—
KS$1178.66—
KY$1178.66—
LA$1178.66—
MA$1178.66—
MD$1178.66—
ME$1178.66—
MI$1178.66—
MN$1178.66—
MO$1178.66—
MS$1178.66—
MT$1178.66—
NC$1178.66—
ND$1178.66—
NE$1178.66—
NH$1178.66—
NJ$1178.66—
NM$1178.66—
NV$1178.66—
NY$1178.66—
OH$1178.66—
OK$1178.66—
OR$1178.66—
PA$1178.66—
PR$1178.66—
RI$1178.66—
SC$1178.66—
SD$1178.66—
TN$1178.66—
TX$1178.66—
UT$1178.66—
VA$1178.66—
VI$1178.66—
VT$1178.66—
WA$1178.66—
WI$1178.66—
WV$1178.66—
WY$1178.66—
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 E3200 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

Bill E3200 with confidence

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