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 E0880
DMEPOS fee schedule, July 2026 (DME26-C)
NU (purchased, new), inexpensive or routinely purchased (IN): non-rural $152.07 to $178.91 in the contiguous states; $127.58 to $199.33 in AK, HI, PR and VI; ceiling $178.91, floor $152.07
RR (rental), inexpensive or routinely purchased (IN): non-rural $23.88 to $28.09 in the contiguous states; $23.88 to $59.26 in AK, HI, PR and VI; ceiling $28.09, floor $23.88
UE (purchased, used), inexpensive or routinely purchased (IN): non-rural $115.11 to $135.42 in the contiguous states; $105.57 to $149.56 in AK, HI, PR and VI; ceiling $135.42, floor $115.11
Payer policies and prior authorization for E0880
1 of 1 payer prior-auth lists that name E0880 require prior authorization or set conditions: 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.