Medicare coverage: Special coverage instructions apply
Status: active (October 2026 file)
Medically Unlikely Edits (effective October 1, 2026)
Practitioner: max 0 units per day (clinical), rationale: CMS Policy
Outpatient hospital: max 0 units per day (clinical), rationale: CMS Policy
DME supplier: max 1 units per day (policy), rationale: Code Descriptor / CPT Instruction
Medicare pricing for E0271
DMEPOS fee schedule, July 2026 (DME26-C)
NU (purchased, new), inexpensive or routinely purchased (IN): non-rural $140.07 to $168.93 in the contiguous states; $200.38 to $296.79 in AK, HI, PR and VI; rural $200.38 to $220.83
RR (rental), inexpensive or routinely purchased (IN): non-rural $14.01 to $16.89 in the contiguous states; $20.49 to $33.88 in AK, HI, PR and VI; rural $20.49 to $22.62
UE (purchased, used), inexpensive or routinely purchased (IN): non-rural $105.06 to $126.70 in the contiguous states; $134.00 to $222.60 in AK, HI, PR and VI; rural $153.89 to $169.87
Payer policies and prior authorization for E0271
2 of 2 payer prior-auth lists that name E0271 require prior authorization or set conditions: Blue Shield of California Promise Health Plan, Rocky Mountain Health Plans.
From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.