E0181 HCPCS code: Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty

E0181 is the HCPCS Level II code for powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty. The 2026 Medicare DMEPOS fee schedule pays $17.94 to $36.69 (RR, rental (monthly)) depending on the state. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 1 per day on DME suppliers. Medicare volume fell 8% from 2022 to 2024 (74,663 to 68,889 services). In 2024, 1,909 suppliers billed Medicare for E0181 (rentals), serving 14,619 beneficiaries; California, New York, Maryland accounted for 32% of services. Its average fee ranks 33 of 51 E01 codes billed RR (family range $1.36–$4,390.87); rural fees run 42% higher.

Code details

2026 Medicare DMEPOS fee schedule for E0181

How the E0181 fee compares

Who bills E0181 (2024)

Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.

Medicare utilization for E0181, 2022–2024

States with the most E0181 services (2024)

NCCI unit limits (MUE)

Medicare policy articles for this code

• A52489: Pressure Reducing Support Surfaces - Group 1 - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
• A52490: Pressure Reducing Support Surfaces - Group 2 - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance

Covered diagnoses (52 ICD-10-CM codes)

The diagnoses most often listed as covered in the policy articles above:

Showing 10 of 52. The full list, non-covered diagnoses and CSV export are in Caduvo.

What changed for E0181

• 2026-01-01: Average state fee (RR) rose 2.7%: $19.97 to $20.50
• 1986-01-01: E0181 added to HCPCS Level II
• Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01

Frequently asked questions

What is HCPCS code E0181?

E0181 is the HCPCS Level II code for powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty. Short descriptor: "Press pad alternating w/ pum".

How much does Medicare pay for E0181?

Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $17.94–$36.69. Rural fees can be higher.

Does Medicare cover E0181?

Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.

Which diagnoses support coverage for E0181?

Medicare policy articles that cite E0181 list 52 covered ICD-10-CM diagnosis codes across 2 articles. The most cited include L89.100 (Pressure ulcer of unspecified part of back, unstageable), L89.102 (Pressure ulcer of unspecified part of back, stage 2), L89.103 (Pressure ulcer of unspecified part of back, stage 3). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.

Did the Medicare fee for E0181 change in 2026?

The average non-rural state fee for RR moved from $19.97 in 2025 to $20.50 in 2026 (+2.7%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of E0181 can be billed per day?

1 on DME suppliers (NCCI medically unlikely edits).

Related E01 codes

• E0100 — Cane, includes canes of all materials, adjustable or fixed, with tip ($6.11–$48.89)
• E0105 — Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips ($10.74–$86.55)
• E0110 — Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips ($17.71–$141.62)
• E0111 — Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips ($8.81–$80.49)
• E0112 — Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips ($7.97–$63.92)
• E0113 — Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip ($4.00–$55.77)
• E0114 — Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips ($10.38–$88.73)
• E0116 — Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each ($5.58–$44.38)
• E0117 — Crutch, underarm, articulating, spring assisted, each ($27.45–$32.96)
• E0118 — Crutch substitute, lower leg platform, with or without wheels, each
• E0130 — Walker, rigid (pickup), adjustable or fixed height ($5.35–$86.89)
• E0135 — Walker, folding (pickup), adjustable or fixed height ($5.35–$105.44)

Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.

Next steps

• Run a reimbursement report for a device billed under E0181
• Watch E0181 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for E0181

Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.

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