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 1 units per day (policy), rationale: Code Descriptor / CPT Instruction
DME supplier: max 1 units per day (policy), rationale: Code Descriptor / CPT Instruction
Medicare pricing for E0705
DMEPOS fee schedule, July 2026 (DME26-C)
NU (purchased, new), inexpensive or routinely purchased (IN): non-rural $53.40 to $61.46 in the contiguous states; $69.07 to $98.97 in AK, HI, PR and VI; rural $64.97 to $70.86
NU-KU, inexpensive or routinely purchased (IN): non-rural $66.79 to $78.58 in the contiguous states; $74.97 to $134.77 in AK, HI, PR and VI; ceiling $78.58, floor $66.79
RR (rental), inexpensive or routinely purchased (IN): non-rural $5.34 to $6.15 in the contiguous states; $7.00 to $9.90 in AK, HI, PR and VI; rural $6.55 to $7.15
RR-KU, inexpensive or routinely purchased (IN): non-rural $6.79 to $7.99 in the contiguous states; $7.71 to $13.48 in AK, HI, PR and VI; ceiling $7.99, floor $6.79
UE (purchased, used), inexpensive or routinely purchased (IN): non-rural $40.05 to $46.10 in the contiguous states; $52.46 to $74.23 in AK, HI, PR and VI; rural $48.14 to $52.46
UE-KU, inexpensive or routinely purchased (IN): non-rural $48.90 to $57.53 in the contiguous states; $57.53 to $101.09 in AK, HI, PR and VI; ceiling $57.53, floor $48.90
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.