E0272 HCPCS code: Mattress, foam rubber
E0272 is the HCPCS Level II code for mattress, foam rubber. The 2026 Medicare DMEPOS fee schedule pays $165.67 to $240.18 (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 22% from 2022 to 2024 (4,397 to 5,373 services). In 2024, 292 suppliers billed Medicare for E0272 (purchases), serving 3,893 beneficiaries; California, Washington, New York accounted for 75% of services. Its average fee ranks 10 of 14 E02 codes billed NU (family range $15.39–$673.16); rural fees run 21% 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 | D1B — Hospital beds |
| Added | 1986-01-01 |
| Last action effective | 1993-01-01 |
2026 Medicare DMEPOS fee schedule for E0272
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $165.67 | $240.18 | — | — |
| RR | rental (monthly) | $16.57 | $27.62 | — | — |
| UE | used equipment, purchased | $117.29 | $180.15 | — | — |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $226.41 | — |
| AL | NU | $178.16 | $201.47 |
| AR | NU | $178.16 | $220.11 |
| AZ | NU | $167.82 | $220.11 |
| CA | NU | $165.67 | $220.11 |
| CO | NU | $173.59 | $216.75 |
| CT | NU | $179.00 | $220.11 |
| DC | NU | $170.40 | $215.53 |
| DE | NU | $170.40 | $215.53 |
| FL | NU | $178.16 | $213.11 |
| GA | NU | $178.16 | $220.11 |
| HI | NU | $235.45 | — |
| IA | NU | $174.03 | $220.11 |
| ID | NU | $173.59 | $201.47 |
| IL | NU | $176.56 | $201.47 |
| IN | NU | $176.56 | $211.65 |
| KS | NU | $174.03 | $220.11 |
| KY | NU | $178.16 | $220.11 |
| LA | NU | $178.16 | $220.11 |
| MA | NU | $179.00 | $220.11 |
| MD | NU | $170.40 | $210.93 |
| ME | NU | $179.00 | $201.47 |
| MI | NU | $176.56 | $219.09 |
| MN | NU | $174.03 | $220.11 |
| MO | NU | $174.03 | $204.42 |
| MS | NU | $178.16 | $201.47 |
| MT | NU | $173.59 | $201.47 |
| NC | NU | $178.16 | $220.11 |
| ND | NU | $174.03 | $220.11 |
| NE | NU | $174.03 | $220.11 |
| NH | NU | $179.00 | $219.54 |
| NJ | NU | $170.40 | $215.53 |
| NM | NU | $167.82 | $220.11 |
| NV | NU | $165.67 | $220.11 |
| NY | NU | $170.40 | $201.47 |
| OH | NU | $176.56 | $212.89 |
| OK | NU | $167.82 | $220.11 |
| OR | NU | $165.67 | $201.47 |
| PA | NU | $170.40 | $215.53 |
| PR | NU | $240.18 | — |
| RI | NU | $179.00 | $220.11 |
| SC | NU | $178.16 | $220.11 |
| SD | NU | $174.03 | $220.11 |
| TN | NU | $178.16 | $220.11 |
| TX | NU | $167.82 | $209.46 |
| UT | NU | $173.59 | $220.11 |
| VA | NU | $178.16 | $220.11 |
| VI | NU | $201.69 | — |
| VT | NU | $179.00 | $219.54 |
| WA | NU | $165.67 | $213.61 |
| WI | NU | $176.56 | $220.11 |
| WV | NU | $178.16 | $212.89 |
| WY | NU | $173.59 | $220.11 |
| AK | RR | $25.41 | — |
| AL | RR | $17.82 | $20.62 |
| AR | RR | $17.82 | $22.56 |
| AZ | RR | $16.78 | $22.56 |
| CA | RR | $16.57 | $22.56 |
| CO | RR | $17.36 | $21.66 |
| CT | RR | $17.90 | $22.56 |
| DC | RR | $17.04 | $22.56 |
| DE | RR | $17.04 | $22.56 |
| FL | RR | $17.82 | $21.31 |
| GA | RR | $17.82 | $22.56 |
| HI | RR | $26.49 | — |
| IA | RR | $17.40 | $22.02 |
| ID | RR | $17.36 | $20.62 |
| IL | RR | $17.66 | $20.62 |
| IN | RR | $17.66 | $21.17 |
| KS | RR | $17.40 | $22.41 |
| KY | RR | $17.82 | $22.05 |
| LA | RR | $17.82 | $22.56 |
| MA | RR | $17.90 | $22.56 |
| MD | RR | $17.04 | $22.56 |
| ME | RR | $17.90 | $20.62 |
| MI | RR | $17.66 | $20.62 |
| MN | RR | $17.40 | $22.56 |
| MO | RR | $17.40 | $20.62 |
| MS | RR | $17.82 | $20.62 |
| MT | RR | $17.36 | $20.62 |
| NC | RR | $17.82 | $22.56 |
| ND | RR | $17.40 | $22.56 |
| NE | RR | $17.40 | $22.02 |
| NH | RR | $17.90 | $21.56 |
| NJ | RR | $17.04 | $22.56 |
| NM | RR | $16.78 | $22.56 |
| NV | RR | $16.57 | $22.56 |
| NY | RR | $17.04 | $20.62 |
| OH | RR | $17.66 | $22.56 |
| OK | RR | $16.78 | $22.56 |
| OR | RR | $16.57 | $20.62 |
| PA | RR | $17.04 | $22.56 |
| PR | RR | $27.62 | — |
| RI | RR | $17.90 | $22.56 |
| SC | RR | $17.82 | $20.62 |
| SD | RR | $17.40 | $22.56 |
| TN | RR | $17.82 | $22.56 |
| TX | RR | $16.78 | $20.94 |
| UT | RR | $17.36 | $22.56 |
| VA | RR | $17.82 | $22.56 |
| VI | RR | $20.64 | — |
| VT | RR | $17.90 | $21.56 |
| WA | RR | $16.57 | $21.37 |
| WI | RR | $17.66 | $20.62 |
| WV | RR | $17.82 | $22.56 |
| WY | RR | $17.36 | $22.56 |
| AK | UE | $117.29 | — |
| AL | UE | $133.62 | $150.72 |
| AR | UE | $133.62 | $164.64 |
| AZ | UE | $125.86 | $164.64 |
| CA | UE | $124.26 | $150.72 |
| CO | UE | $130.19 | $162.57 |
| CT | UE | $134.25 | $164.64 |
| DC | UE | $127.80 | $161.65 |
| DE | UE | $127.80 | $161.65 |
| FL | UE | $133.62 | $159.83 |
| GA | UE | $133.62 | $164.64 |
| HI | UE | $125.42 | — |
| IA | UE | $130.52 | $164.64 |
| ID | UE | $130.19 | $150.72 |
| IL | UE | $132.42 | $150.72 |
| IN | UE | $132.42 | $158.73 |
| KS | UE | $130.52 | $164.64 |
| KY | UE | $133.62 | $164.64 |
| LA | UE | $133.62 | $164.64 |
| MA | UE | $134.25 | $164.64 |
| MD | UE | $127.80 | $158.20 |
| ME | UE | $134.25 | $150.72 |
| MI | UE | $132.42 | $164.30 |
| MN | UE | $130.52 | $164.64 |
| MO | UE | $130.52 | $153.31 |
| MS | UE | $133.62 | $150.72 |
| MT | UE | $130.19 | $150.72 |
| NC | UE | $133.62 | $164.64 |
| ND | UE | $130.52 | $164.64 |
| NE | UE | $130.52 | $164.64 |
| NH | UE | $134.25 | $164.64 |
| NJ | UE | $127.80 | $161.65 |
| NM | UE | $125.86 | $164.64 |
| NV | UE | $124.26 | $164.64 |
| NY | UE | $127.80 | $150.72 |
| OH | UE | $132.42 | $159.66 |
| OK | UE | $125.86 | $164.64 |
| OR | UE | $124.26 | $150.72 |
| PA | UE | $127.80 | $161.65 |
| PR | UE | $180.15 | — |
| RI | UE | $134.25 | $164.64 |
| SC | UE | $133.62 | $164.64 |
| SD | UE | $130.52 | $164.64 |
| TN | UE | $133.62 | $164.64 |
| TX | UE | $125.86 | $157.10 |
| UT | UE | $130.19 | $164.64 |
| VA | UE | $133.62 | $164.64 |
| VI | UE | $150.89 | — |
| VT | UE | $134.25 | $164.64 |
| WA | UE | $124.26 | $160.22 |
| WI | UE | $132.42 | $164.64 |
| WV | UE | $133.62 | $159.66 |
| WY | UE | $130.19 | $164.64 |
How the E0272 fee compares
| Measure | Value |
|---|---|
| Rank among 14 E02 codes billed NU (lowest = 1) | 10 |
| Family fee range (average of state fees) | $15.39–$673.16 |
| Rural fee uplift | 20.8% |
Who bills E0272 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 82 |
| Suppliers billing purchases | 292 |
| Referring clinicians | 2,145 |
| Medicare beneficiaries | 3,893 |
| States with claims | 29 |
| Share of services in top 3 states (California, Washington, New York) | 75% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 342 | 2,903 |
| 2023 | 292 | 3,381 |
| 2024 | 292 | 3,893 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0272, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 4,397 | 2,903 | $89.18 | $67.79 |
| 2023 | 4,514 | 3,381 | $108.62 | $82.94 |
| 2024 | 5,373 | 3,893 | $109.38 | $83.41 |
States with the most E0272 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 3,344 | $88.08 |
| Washington | 348 | $11.51 |
| New York | 171 | $66.30 |
| Louisiana | 143 | $137.23 |
| Mississippi | 125 | $51.90 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
Medicare policy articles for this code
- A52508: Hospital Beds And Accessories - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
What changed for E0272
- 2026-01-01: Average state fee (NU) rose 2.7%: $173.51 to $178.13
- 2026-01-01: Average state fee (RR) rose 2.7%: $17.53 to $18.00
- 2026-01-01: Average state fee (UE) rose 2.7%: $128.23 to $131.64
- 1986-01-01: E0272 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 E0272?
E0272 is the HCPCS Level II code for mattress, foam rubber. Short descriptor: "Mattress foam rubber".
How much does Medicare pay for E0272?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $165.67–$240.18; RR (rental (monthly)): $16.57–$27.62; UE (used equipment, purchased): $117.29–$180.15. Rural fees can be higher.
Does Medicare cover E0272?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for E0272 change in 2026?
The average non-rural state fee for NU moved from $173.51 in 2025 to $178.13 in 2026 (+2.7%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0272 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)
- E0202 — Phototherapy (bilirubin) light with photometer ($75.19–$320.58)
- 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
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 E0272
- Watch E0272 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0272
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.