E0199 HCPCS code: Dry pressure pad for mattress, standard mattress length and width

E0199 is the HCPCS Level II code for dry pressure pad for mattress, standard mattress length and width. The 2026 Medicare DMEPOS fee schedule pays $36.43 to $121.84 (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 13 of 34 E01 codes billed NU (family range $13.50–$517.31).

Code details

2026 Medicare DMEPOS fee schedule for E0199

How the E0199 fee compares

NCCI unit limits (MUE)

What changed for E0199

• 2026-01-01: Average state fee (NU) rose 2.6%: $41.20 to $42.28
• 2026-01-01: Average state fee (RR) rose 2.5%: $5.05 to $5.17
• 2026-01-01: Average state fee (UE) rose 2.6%: $33.40 to $34.26
• 1991-01-01: E0199 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 E0199?

E0199 is the HCPCS Level II code for dry pressure pad for mattress, standard mattress length and width. Short descriptor: "Dry pressure pad for mattres".

How much does Medicare pay for E0199?

Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $36.43–$121.84; RR (rental (monthly)): $3.64–$36.25; UE (used equipment, purchased): $27.32–$153.81. Rural fees can be higher.

Does Medicare cover E0199?

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

Did the Medicare fee for E0199 change in 2026?

The average non-rural state fee for NU moved from $41.20 in 2025 to $42.28 in 2026 (+2.6%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of E0199 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 E0199
• Watch E0199 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for E0199

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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