E0202 HCPCS code: Phototherapy (bilirubin) light with photometer
E0202 is the HCPCS Level II code for phototherapy (bilirubin) light with photometer. The 2026 Medicare DMEPOS fee schedule pays $75.19 to $320.58 (RR, rental (monthly)) depending on the state. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 1 per day on DME suppliers. Its average fee ranks 29 of 34 E02 codes billed RR (family range $1.55–$263.61).
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 36 — DMEPOS: capped rental item |
| BETOS category | D1E — Other durable medical equipment |
| Added | 1985-01-01 |
| Last action effective | 1996-01-01 |
2026 Medicare DMEPOS fee schedule for E0202
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $75.19 | $320.58 | $89.25 | $75.86 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $75.19 | — |
| AL | RR | $89.25 | — |
| AR | RR | $89.25 | — |
| AZ | RR | $75.86 | — |
| CA | RR | $75.86 | — |
| CO | RR | $78.06 | — |
| CT | RR | $77.27 | — |
| DC | RR | $89.25 | — |
| DE | RR | $89.25 | — |
| FL | RR | $75.86 | — |
| GA | RR | $75.86 | — |
| HI | RR | $80.40 | — |
| IA | RR | $89.25 | — |
| ID | RR | $75.86 | — |
| IL | RR | $89.25 | — |
| IN | RR | $83.17 | — |
| KS | RR | $89.25 | — |
| KY | RR | $75.86 | — |
| LA | RR | $89.25 | — |
| MA | RR | $85.90 | — |
| MD | RR | $89.25 | — |
| ME | RR | $88.79 | — |
| MI | RR | $89.25 | — |
| MN | RR | $78.08 | — |
| MO | RR | $89.25 | — |
| MS | RR | $89.25 | — |
| MT | RR | $77.66 | — |
| NC | RR | $89.25 | — |
| ND | RR | $75.86 | — |
| NE | RR | $89.25 | — |
| NH | RR | $81.54 | — |
| NJ | RR | $89.25 | — |
| NM | RR | $89.25 | — |
| NV | RR | $76.60 | — |
| NY | RR | $89.25 | — |
| OH | RR | $89.25 | — |
| OK | RR | $89.25 | — |
| OR | RR | $75.86 | — |
| PA | RR | $89.25 | — |
| PR | RR | $320.58 | — |
| RI | RR | $75.86 | — |
| SC | RR | $89.25 | — |
| SD | RR | $79.04 | — |
| TN | RR | $89.25 | — |
| TX | RR | $89.25 | — |
| UT | RR | $81.89 | — |
| VA | RR | $89.25 | — |
| VI | RR | $89.25 | — |
| VT | RR | $85.21 | — |
| WA | RR | $75.86 | — |
| WI | RR | $75.86 | — |
| WV | RR | $89.25 | — |
| WY | RR | $78.76 | — |
How the E0202 fee compares
| Measure | Value |
|---|---|
| Rank among 34 E02 codes billed RR (lowest = 1) | 29 |
| Family fee range (average of state fees) | $1.55–$263.61 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
What changed for E0202
- 2026-01-01: Average state fee (RR) rose 2.0%: $86.63 to $88.36
- 1985-01-01: E0202 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 E0202?
E0202 is the HCPCS Level II code for phototherapy (bilirubin) light with photometer. Short descriptor: "Phototherapy light w/ photom".
How much does Medicare pay for E0202?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $75.19–$320.58. Rural fees can be higher.
Does Medicare cover E0202?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E0202 change in 2026?
The average non-rural state fee for RR moved from $86.63 in 2025 to $88.36 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0202 can be billed per day?
1 on DME suppliers (NCCI medically unlikely edits).
Related E02 codes
- E0200 — Heat lamp, without stand (table model), includes bulb, or infrared element ($13.04–$237.31)
- E0201 — Penile contracture device, manual, greater than 3 lbs traction force ($14.65–$146.52)
- E0203 — Therapeutic lightbox, minimum 10,000 lux, table top model
- E0205 — Heat lamp, with stand, includes bulb, or infrared element ($25.87–$370.65)
- E0210 — Electric heat pad, standard ($3.73–$127.76)
- E0215 — Electric heat pad, moist ($8.98–$155.37)
- E0217 — Water circulating heat pad with pump ($66.95–$923.22)
- E0218 — Fluid circulating cold pad with pump, any type
- E0221 — Infrared heating pad system
- E0225 — Hydrocollator unit, includes pads ($46.40–$682.90)
- E0231 — Non-contact wound warming device (temperature control unit, ac adapter and power cord) for use with warming card and wound cover
- E0232 — Warming card for use with the non contact wound warming device and non contact wound warming wound cover
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Next steps
- Run a reimbursement report for a device billed under E0202
- Watch E0202 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0202
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.