Blood glucose monitor with integrated lancing/blood sample
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 E2101
DMEPOS fee schedule, July 2026 (DME26-C)
NU (purchased, new), inexpensive or routinely purchased (IN): non-rural $268.71 in the contiguous states; $268.71 to $322.42 in AK, HI, PR and VI; ceiling $268.71, floor $228.40
RR (rental), inexpensive or routinely purchased (IN): non-rural $26.88 in the contiguous states; $26.88 to $32.25 in AK, HI, PR and VI; ceiling $26.88, floor $22.85
UE (purchased, used), inexpensive or routinely purchased (IN): non-rural $201.54 in the contiguous states; $201.54 to $241.84 in AK, HI, PR and VI; ceiling $201.54, floor $171.31
Payer policies and prior authorization for E2101
1 of 1 payer prior-auth lists that name E2101 require prior authorization or set conditions: HealthSpring.
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.