E0186 HCPCS code: Air pressure mattress
E0186 is the HCPCS Level II code for air pressure mattress. The 2026 Medicare DMEPOS fee schedule pays $22.53 to $59.47 (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 rose 17% from 2022 to 2024 (205 to 240 services). In 2024, 30 suppliers billed Medicare for E0186 (rentals), serving 43 beneficiaries; California, Florida, Texas accounted for 79% of services. Its average fee ranks 39 of 51 E01 codes billed RR (family range $1.36–$4,390.87); rural fees run 3% higher.
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 36 — DMEPOS: capped rental item |
| BETOS category | D1E — Other durable medical equipment |
| Added | 1986-01-01 |
| Last action effective | 1996-01-01 |
2026 Medicare DMEPOS fee schedule for E0186
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $22.53 | $59.47 | — | — |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $52.59 | — |
| AL | RR | $22.53 | $24.59 |
| AR | RR | $22.53 | $24.59 |
| AZ | RR | $22.95 | $27.24 |
| CA | RR | $23.90 | $27.24 |
| CO | RR | $22.60 | $27.24 |
| CT | RR | $24.06 | $27.24 |
| DC | RR | $23.75 | $27.24 |
| DE | RR | $23.75 | $27.24 |
| FL | RR | $22.53 | $27.24 |
| GA | RR | $22.53 | $24.59 |
| HI | RR | $54.50 | — |
| IA | RR | $22.90 | $26.36 |
| ID | RR | $22.60 | $27.24 |
| IL | RR | $24.04 | $24.59 |
| IN | RR | $24.04 | $24.59 |
| KS | RR | $22.90 | $24.59 |
| KY | RR | $22.53 | $24.59 |
| LA | RR | $22.53 | $24.87 |
| MA | RR | $24.06 | $24.59 |
| MD | RR | $23.75 | $27.24 |
| ME | RR | $24.06 | $24.59 |
| MI | RR | $24.04 | $27.24 |
| MN | RR | $22.90 | $24.59 |
| MO | RR | $22.90 | $27.24 |
| MS | RR | $22.53 | $24.59 |
| MT | RR | $22.60 | $24.59 |
| NC | RR | $22.53 | $24.59 |
| ND | RR | $22.90 | $27.24 |
| NE | RR | $22.90 | $24.59 |
| NH | RR | $24.06 | $24.59 |
| NJ | RR | $23.75 | $27.24 |
| NM | RR | $22.95 | $24.59 |
| NV | RR | $23.90 | $27.24 |
| NY | RR | $23.75 | $27.24 |
| OH | RR | $24.04 | $27.24 |
| OK | RR | $22.95 | $24.59 |
| OR | RR | $23.90 | $27.24 |
| PA | RR | $23.75 | $27.24 |
| PR | RR | $59.47 | — |
| RI | RR | $24.06 | $26.03 |
| SC | RR | $22.53 | $24.59 |
| SD | RR | $22.90 | $27.24 |
| TN | RR | $22.53 | $24.59 |
| TX | RR | $22.95 | $27.24 |
| UT | RR | $22.60 | $24.59 |
| VA | RR | $22.53 | $27.24 |
| VI | RR | $28.93 | — |
| VT | RR | $24.06 | $24.59 |
| WA | RR | $23.90 | $27.24 |
| WI | RR | $24.04 | $27.24 |
| WV | RR | $22.53 | $27.24 |
| WY | RR | $22.60 | $27.24 |
How the E0186 fee compares
| Measure | Value |
|---|---|
| Rank among 51 E01 codes billed RR (lowest = 1) | 39 |
| Family fee range (average of state fees) | $1.36–$4,390.87 |
| Rural fee uplift | 3.4% |
Who bills E0186 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 30 |
| Suppliers billing purchases | — |
| Referring clinicians | 43 |
| Medicare beneficiaries | 43 |
| States with claims | 6 |
| Share of services in top 3 states (California, Florida, Texas) | 79% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 34 | 45 |
| 2023 | 30 | 39 |
| 2024 | 30 | 43 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0186, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 205 | 45 | $15.66 | $10.76 |
| 2023 | 215 | 39 | $17.59 | $12.82 |
| 2024 | 240 | 43 | $17.38 | $12.49 |
States with the most E0186 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 115 | $13.49 |
| Florida | 15 | $10.94 |
| Texas | 14 | $9.99 |
| Missouri | 14 | $13.48 |
| Tennessee | 13 | $12.52 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
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
What changed for E0186
- 2026-01-01: Average state fee (RR) rose 2.6%: $24.51 to $25.16
- 1986-01-01: E0186 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 E0186?
E0186 is the HCPCS Level II code for air pressure mattress. Short descriptor: "Air pressure mattress".
How much does Medicare pay for E0186?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $22.53–$59.47. Rural fees can be higher.
Does Medicare cover E0186?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for E0186 change in 2026?
The average non-rural state fee for RR moved from $24.51 in 2025 to $25.16 in 2026 (+2.6%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0186 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 E0186
- Watch E0186 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0186
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.