E0194 HCPCS code: Air fluidized bed
E0194 is the HCPCS Level II code for air fluidized bed. The 2026 Medicare DMEPOS fee schedule pays $3,856.78 to $4,884.31 (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 21% from 2022 to 2024 (2,622 to 2,074 services). In 2024, 20 suppliers billed Medicare for E0194 (rentals), serving 455 beneficiaries; Florida, North Carolina, Tennessee accounted for 30% of services. Its average fee ranks 51 of 51 E01 codes billed RR (family range $1.36–$4,390.87).
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 | 1991-01-01 |
| Last action effective | 1991-01-01 |
2026 Medicare DMEPOS fee schedule for E0194
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $3,856.78 | $4,884.31 | $4,637.87 | $3,942.19 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $4,567.74 | — |
| AL | RR | $4,637.87 | — |
| AR | RR | $4,637.87 | — |
| AZ | RR | $4,637.87 | — |
| CA | RR | $4,522.54 | — |
| CO | RR | $4,637.87 | — |
| CT | RR | $4,637.87 | — |
| DC | RR | $4,637.87 | — |
| DE | RR | $4,637.87 | — |
| FL | RR | $4,091.01 | — |
| GA | RR | $3,942.19 | — |
| HI | RR | $4,884.31 | — |
| IA | RR | $4,637.87 | — |
| ID | RR | $4,637.87 | — |
| IL | RR | $4,637.87 | — |
| IN | RR | $4,637.87 | — |
| KS | RR | $4,637.87 | — |
| KY | RR | $3,942.19 | — |
| LA | RR | $4,637.87 | — |
| MA | RR | $4,637.87 | — |
| MD | RR | $3,993.91 | — |
| ME | RR | $4,637.87 | — |
| MI | RR | $4,372.12 | — |
| MN | RR | $3,942.19 | — |
| MO | RR | $4,637.87 | — |
| MS | RR | $4,637.87 | — |
| MT | RR | $4,637.87 | — |
| NC | RR | $4,054.55 | — |
| ND | RR | $4,637.69 | — |
| NE | RR | $4,637.87 | — |
| NH | RR | $4,637.87 | — |
| NJ | RR | $4,489.00 | — |
| NM | RR | $3,942.19 | — |
| NV | RR | $4,637.87 | — |
| NY | RR | $3,942.19 | — |
| OH | RR | $4,242.32 | — |
| OK | RR | $4,205.57 | — |
| OR | RR | $3,942.19 | — |
| PA | RR | $4,584.57 | — |
| PR | RR | $3,856.78 | — |
| RI | RR | $4,333.81 | — |
| SC | RR | $3,942.19 | — |
| SD | RR | $4,637.87 | — |
| TN | RR | $4,101.52 | — |
| TX | RR | $4,226.58 | — |
| UT | RR | $4,637.87 | — |
| VA | RR | $3,942.19 | — |
| VI | RR | $3,942.19 | — |
| VT | RR | $4,637.87 | — |
| WA | RR | $4,134.43 | — |
| WI | RR | $3,942.19 | — |
| WV | RR | $4,048.89 | — |
| WY | RR | $4,637.87 | — |
How the E0194 fee compares
| Measure | Value |
|---|---|
| Rank among 51 E01 codes billed RR (lowest = 1) | 51 |
| Family fee range (average of state fees) | $1.36–$4,390.87 |
| Rural fee uplift | — |
Who bills E0194 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 20 |
| Suppliers billing purchases | — |
| Referring clinicians | 371 |
| Medicare beneficiaries | 455 |
| States with claims | 22 |
| Share of services in top 3 states (Florida, North Carolina, Tennessee) | 30% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 20 | 537 |
| 2023 | 18 | 459 |
| 2024 | 20 | 455 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0194, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 2,622 | 537 | $2,962.42 | $2,320.07 |
| 2023 | 2,297 | 459 | $3,182.09 | $2,479.92 |
| 2024 | 2,074 | 455 | $3,334.74 | $2,603.71 |
States with the most E0194 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Florida | 308 | $2,542.77 |
| North Carolina | 152 | $2,419.11 |
| Tennessee | 150 | $2,477.39 |
| South Carolina | 135 | $2,422.69 |
| Texas | 134 | $2,604.54 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
Medicare policy articles for this code
- A52468: Pressure Reducing Support Surfaces - Group 3- Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
Covered diagnoses (50 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| L89.003 | Pressure ulcer of unspecified elbow, stage 3 | 1 |
| L89.004 | Pressure ulcer of unspecified elbow, stage 4 | 1 |
| L89.013 | Pressure ulcer of right elbow, stage 3 | 1 |
| L89.014 | Pressure ulcer of right elbow, stage 4 | 1 |
| L89.023 | Pressure ulcer of left elbow, stage 3 | 1 |
| L89.024 | Pressure ulcer of left elbow, stage 4 | 1 |
| L89.103 | Pressure ulcer of unspecified part of back, stage 3 | 1 |
| L89.104 | Pressure ulcer of unspecified part of back, stage 4 | 1 |
| L89.113 | Pressure ulcer of right upper back, stage 3 | 1 |
| L89.114 | Pressure ulcer of right upper back, stage 4 | 1 |
Showing 10 of 50. The full list, non-covered diagnoses and CSV export are in Caduvo.
What changed for E0194
- 2026-01-01: Average state fee (RR) rose 2.0%: $4,304.77 to $4,390.87
- 1991-01-01: E0194 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 E0194?
E0194 is the HCPCS Level II code for air fluidized bed. Short descriptor: "Air fluidized bed".
How much does Medicare pay for E0194?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $3,856.78–$4,884.31. Rural fees can be higher.
Does Medicare cover E0194?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Which diagnoses support coverage for E0194?
Medicare policy articles that cite E0194 list 50 covered ICD-10-CM diagnosis codes across 1 article. The most cited include L89.003 (Pressure ulcer of unspecified elbow, stage 3), L89.004 (Pressure ulcer of unspecified elbow, stage 4), L89.013 (Pressure ulcer of right elbow, stage 3). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
Did the Medicare fee for E0194 change in 2026?
The average non-rural state fee for RR moved from $4,304.77 in 2025 to $4,390.87 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0194 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 E0194
- Watch E0194 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0194
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.