E0185 HCPCS code: Gel or gel-like pressure pad for mattress, standard mattress length and width

E0185 is the HCPCS Level II code for gel or gel-like pressure pad for mattress, standard mattress length and width. The 2026 Medicare DMEPOS fee schedule pays $198.83 to $373.55 (NU, new equipment, purchased) 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. Its average fee ranks 33 of 34 E01 codes billed NU (family range $13.50–$517.31); rural fees run 49% higher.

Code details

2026 Medicare DMEPOS fee schedule for E0185

How the E0185 fee compares

NCCI unit limits (MUE)

What changed for E0185

• 2026-01-01: Average state fee (NU) rose 2.6%: $215.10 to $220.78
• 2026-01-01: Average state fee (RR) rose 2.6%: $22.58 to $23.17
• 2026-01-01: Average state fee (UE) rose 2.6%: $163.90 to $168.21
• 1986-01-01: E0185 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 E0185?

E0185 is the HCPCS Level II code for gel or gel-like pressure pad for mattress, standard mattress length and width. Short descriptor: "Gel pressure mattress pad".

How much does Medicare pay for E0185?

Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $198.83–$373.55; RR (rental (monthly)): $19.88–$62.42; UE (used equipment, purchased): $149.13–$349.90. Rural fees can be higher.

Does Medicare cover E0185?

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

Did the Medicare fee for E0185 change in 2026?

The average non-rural state fee for NU moved from $215.10 in 2025 to $220.78 in 2026 (+2.6%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of E0185 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)

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Next steps

• Run a reimbursement report for a device billed under E0185
• Watch E0185 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for E0185

Sources: CMS HCPCS Level II release October 2025; 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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