E0189 HCPCS code: Lambswool sheepskin pad, any size
E0189 is the HCPCS Level II code for lambswool sheepskin pad, any size. The 2026 Medicare DMEPOS fee schedule pays $57.53 to $143.01 (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. Medicare volume rose 28% from 2022 to 2024 (446 to 570 services). In 2024, 20 suppliers billed Medicare for E0189 (purchases), serving 567 beneficiaries; California, Washington, Arizona accounted for 89% of services. Its average fee ranks 21 of 34 E01 codes billed NU (family range $13.50–$517.31); rural fees run 2% higher.
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 32 — DMEPOS: inexpensive or routinely purchased item |
| BETOS category | D1E — Other durable medical equipment |
| Added | 1986-01-01 |
| Last action effective | 2001-01-01 |
2026 Medicare DMEPOS fee schedule for E0189
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $57.53 | $143.01 | — | — |
| RR | rental (monthly) | $5.75 | $14.31 | — | — |
| UE | used equipment, purchased | $43.15 | $107.26 | — | — |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $135.41 | — |
| AL | NU | $62.41 | $71.01 |
| AR | NU | $62.41 | $62.95 |
| AZ | NU | $63.87 | $71.01 |
| CA | NU | $60.46 | $71.01 |
| CO | NU | $61.87 | $62.95 |
| CT | NU | $62.95 | $62.95 |
| DC | NU | $57.53 | $62.95 |
| DE | NU | $57.53 | $62.95 |
| FL | NU | $62.41 | $71.01 |
| GA | NU | $62.41 | $71.01 |
| HI | NU | $140.43 | — |
| IA | NU | $62.94 | $62.95 |
| ID | NU | $61.87 | $71.01 |
| IL | NU | $61.19 | $71.01 |
| IN | NU | $61.19 | $71.01 |
| KS | NU | $62.94 | $62.95 |
| KY | NU | $62.41 | $68.16 |
| LA | NU | $62.41 | $62.95 |
| MA | NU | $63.37 | $71.01 |
| MD | NU | $57.53 | $71.01 |
| ME | NU | $63.37 | $71.01 |
| MI | NU | $61.19 | $62.95 |
| MN | NU | $62.94 | $71.01 |
| MO | NU | $62.94 | $70.56 |
| MS | NU | $62.41 | $62.95 |
| MT | NU | $61.87 | $70.42 |
| NC | NU | $62.41 | $71.01 |
| ND | NU | $62.94 | $62.95 |
| NE | NU | $62.94 | $62.95 |
| NH | NU | $63.37 | $71.01 |
| NJ | NU | $57.53 | $62.95 |
| NM | NU | $63.87 | $71.01 |
| NV | NU | $60.46 | $71.01 |
| NY | NU | $57.53 | $62.95 |
| OH | NU | $61.19 | $62.95 |
| OK | NU | $63.87 | $71.01 |
| OR | NU | $60.46 | $62.95 |
| PA | NU | $57.53 | $62.95 |
| PR | NU | $143.01 | — |
| RI | NU | $63.37 | $71.01 |
| SC | NU | $62.41 | $71.01 |
| SD | NU | $62.94 | $62.95 |
| TN | NU | $62.41 | $71.01 |
| TX | NU | $63.87 | $71.01 |
| UT | NU | $61.87 | $62.95 |
| VA | NU | $62.41 | $71.01 |
| VI | NU | $74.06 | — |
| VT | NU | $63.37 | $71.01 |
| WA | NU | $60.46 | $62.95 |
| WI | NU | $61.19 | $71.01 |
| WV | NU | $62.41 | $71.01 |
| WY | NU | $61.87 | $69.73 |
| AK | RR | $13.54 | — |
| AL | RR | $6.24 | $7.40 |
| AR | RR | $6.24 | $6.80 |
| AZ | RR | $6.39 | $7.40 |
| CA | RR | $6.04 | $7.40 |
| CO | RR | $6.19 | $6.80 |
| CT | RR | $6.34 | $6.80 |
| DC | RR | $5.75 | $7.40 |
| DE | RR | $5.75 | $7.40 |
| FL | RR | $6.24 | $7.40 |
| GA | RR | $6.24 | $7.40 |
| HI | RR | $14.04 | — |
| IA | RR | $6.30 | $6.80 |
| ID | RR | $6.19 | $7.40 |
| IL | RR | $6.12 | $7.40 |
| IN | RR | $6.12 | $7.40 |
| KS | RR | $6.30 | $6.80 |
| KY | RR | $6.24 | $6.81 |
| LA | RR | $6.24 | $6.80 |
| MA | RR | $6.34 | $7.19 |
| MD | RR | $5.75 | $7.40 |
| ME | RR | $6.34 | $7.19 |
| MI | RR | $6.12 | $6.80 |
| MN | RR | $6.30 | $7.40 |
| MO | RR | $6.30 | $7.05 |
| MS | RR | $6.24 | $6.80 |
| MT | RR | $6.19 | $7.05 |
| NC | RR | $6.24 | $7.40 |
| ND | RR | $6.30 | $6.80 |
| NE | RR | $6.30 | $6.80 |
| NH | RR | $6.34 | $7.19 |
| NJ | RR | $5.75 | $7.40 |
| NM | RR | $6.39 | $7.40 |
| NV | RR | $6.04 | $7.40 |
| NY | RR | $5.75 | $6.80 |
| OH | RR | $6.12 | $7.40 |
| OK | RR | $6.39 | $7.40 |
| OR | RR | $6.04 | $6.80 |
| PA | RR | $5.75 | $7.40 |
| PR | RR | $14.31 | — |
| RI | RR | $6.34 | $7.08 |
| SC | RR | $6.24 | $7.40 |
| SD | RR | $6.30 | $6.80 |
| TN | RR | $6.24 | $7.40 |
| TX | RR | $6.39 | $7.40 |
| UT | RR | $6.19 | $6.80 |
| VA | RR | $6.24 | $7.40 |
| VI | RR | $8.01 | — |
| VT | RR | $6.34 | $7.19 |
| WA | RR | $6.04 | $6.80 |
| WI | RR | $6.12 | $7.40 |
| WV | RR | $6.24 | $7.40 |
| WY | RR | $6.19 | $6.97 |
| AK | UE | $101.56 | — |
| AL | UE | $46.81 | $53.26 |
| AR | UE | $46.81 | $47.21 |
| AZ | UE | $47.91 | $53.26 |
| CA | UE | $45.35 | $53.26 |
| CO | UE | $46.41 | $47.21 |
| CT | UE | $47.21 | $47.21 |
| DC | UE | $43.15 | $47.21 |
| DE | UE | $43.15 | $47.21 |
| FL | UE | $46.81 | $53.26 |
| GA | UE | $46.81 | $53.26 |
| HI | UE | $105.31 | — |
| IA | UE | $47.21 | $47.21 |
| ID | UE | $46.41 | $53.26 |
| IL | UE | $45.89 | $53.26 |
| IN | UE | $45.89 | $53.26 |
| KS | UE | $47.21 | $47.21 |
| KY | UE | $46.81 | $51.11 |
| LA | UE | $46.81 | $47.21 |
| MA | UE | $47.53 | $53.26 |
| MD | UE | $43.15 | $53.26 |
| ME | UE | $47.53 | $53.26 |
| MI | UE | $45.89 | $47.21 |
| MN | UE | $47.21 | $53.26 |
| MO | UE | $47.21 | $52.94 |
| MS | UE | $46.81 | $47.21 |
| MT | UE | $46.41 | $52.82 |
| NC | UE | $46.81 | $53.26 |
| ND | UE | $47.21 | $47.21 |
| NE | UE | $47.21 | $47.21 |
| NH | UE | $47.53 | $53.26 |
| NJ | UE | $43.15 | $47.21 |
| NM | UE | $47.91 | $53.26 |
| NV | UE | $45.35 | $53.26 |
| NY | UE | $43.15 | $47.21 |
| OH | UE | $45.89 | $47.21 |
| OK | UE | $47.91 | $53.26 |
| OR | UE | $45.35 | $47.21 |
| PA | UE | $43.15 | $47.21 |
| PR | UE | $107.26 | — |
| RI | UE | $47.53 | $53.26 |
| SC | UE | $46.81 | $53.26 |
| SD | UE | $47.21 | $47.21 |
| TN | UE | $46.81 | $53.26 |
| TX | UE | $47.91 | $53.26 |
| UT | UE | $46.41 | $47.21 |
| VA | UE | $46.81 | $53.26 |
| VI | UE | $54.76 | — |
| VT | UE | $47.53 | $53.26 |
| WA | UE | $45.35 | $47.21 |
| WI | UE | $45.89 | $53.26 |
| WV | UE | $46.81 | $53.26 |
| WY | UE | $46.41 | $52.31 |
How the E0189 fee compares
| Measure | Value |
|---|---|
| Rank among 34 E01 codes billed NU (lowest = 1) | 21 |
| Family fee range (average of state fees) | $13.50–$517.31 |
| Rural fee uplift | 1.8% |
Who bills E0189 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 20 |
| Referring clinicians | 70 |
| Medicare beneficiaries | 567 |
| States with claims | 6 |
| Share of services in top 3 states (California, Washington, Arizona) | 89% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 23 | 444 |
| 2023 | 16 | 485 |
| 2024 | 20 | 567 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0189, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 446 | 444 | $50.94 | $40.14 |
| 2023 | 489 | 485 | $52.62 | $41.00 |
| 2024 | 570 | 567 | $55.12 | $43.01 |
States with the most E0189 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 313 | $42.54 |
| Washington | 128 | $42.32 |
| Arizona | 52 | $51.70 |
| New York | 33 | $39.06 |
| Maryland | 16 | $38.66 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Nature of Equipment |
What changed for E0189
- 2026-01-01: Average state fee (NU) rose 2.6%: $64.72 to $66.42
- 2026-01-01: Average state fee (RR) rose 2.6%: $6.48 to $6.65
- 2026-01-01: Average state fee (UE) rose 2.6%: $48.53 to $49.80
- 1986-01-01: E0189 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 E0189?
E0189 is the HCPCS Level II code for lambswool sheepskin pad, any size. Short descriptor: "Lambswool sheepskin pad".
How much does Medicare pay for E0189?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $57.53–$143.01; RR (rental (monthly)): $5.75–$14.31; UE (used equipment, purchased): $43.15–$107.26. Rural fees can be higher.
Does Medicare cover E0189?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for E0189 change in 2026?
The average non-rural state fee for NU moved from $64.72 in 2025 to $66.42 in 2026 (+2.6%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0189 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 E0189
- Watch E0189 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0189
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.