`E2001` Suct pum ext mgmt sys

Suction pump, home model, portable or stationary, electric, any type, for use with external urine and/or fecal management system

Medicare coverage: Carrier judgment
Status: active (October 2026 file)

Medically Unlikely Edits (effective October 1, 2026)

Practitioner: max 1 units per day (policy), rationale: Code Descriptor / CPT Instruction
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 E2001

DMEPOS fee schedule, July 2026 (DME26-C)

RR (rental), capped rental (CR): non-rural $55.46 to $65.25 in the contiguous states; $61.44 to $96.87 in AK, HI, PR and VI

Payer policies and prior authorization for E2001

1 of 1 payer prior-auth lists that name E2001 require prior authorization or set conditions: Medicare.

Payer	Plan	State	Prior auth	Conditions	Since	Source
Medicare	DMEPOS Master List (items potentially subject to PA)	All	prior auth under conditions	On the Master List; PA only if CMS selects it for the Required List	Jul 30, 2026	Master List of DMEPOS Items Potentially Subject to Face-to-Face Encounter and Written Order Prior to Delivery and/or Prior Authorization Requirements

Payer coverage policies that name E2001

E2001 appears in 4 coverage policies from Aetna, Premera Blue Cross, UnitedHealthcare.

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Urological Supplies (0533)	not covered	Jul 30, 2026	payer document
Premera Blue Cross	Non-covered Services and Procedures Page \| 14 of 30 \| ∞	listed, no stance	Jun 1, 2026	payer document
UnitedHealthcare	Durable Medical Equipment (DME), Prosthetics, Orthotics (Non-Foot Orthotics), Nutritional Therapy, and Medical Supplies Grid (MMP028.23) For Erectile Dysfunction \| See Vacuum Pump.	listed, no stance	Oct 1, 2025	payer document
UnitedHealthcare	Urinary and Fecal Incontinence: Diagnosis and Treatment (MMP049.14) PureWick™ Urine Collection System	listed, no stance	Sep 1, 2026	payer document

Recent prior-auth changes

Aug 1, 2026: PA removed, HealthSpring

Medicaid fee-for-service

Prior authorization required or conditional in CO, IN, OH.

AZ: $1.97 (dme_rentals), effective Oct 1, 2026
CO: $624.46 (health_first_colorado), effective Jul 1, 2026
MD: $554.62 (dme), effective Apr 1, 2026
OH: $299.00 (dme), effective Jan 1, 2021
VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

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.

E2001 Suct pum ext mgmt sys