E0277 HCPCS code: Powered pressure-reducing air mattress
E0277 is the HCPCS Level II code for powered pressure-reducing air mattress. The 2026 Medicare DMEPOS fee schedule pays $185.56 to $563.59 (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 rose 3% from 2022 to 2024 (30,152 to 31,089 services). In 2024, 1,038 suppliers billed Medicare for E0277 (rentals), serving 6,639 beneficiaries; California, New York, New Jersey accounted for 31% of services. Its average fee ranks 34 of 34 E02 codes billed RR (family range $1.55–$263.61); rural fees run 111% higher.
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 | 1992-01-01 |
| Last action effective | 1998-01-01 |
2026 Medicare DMEPOS fee schedule for E0277
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $185.56 | $563.59 | — | — |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $563.54 | — |
| AL | RR | $251.55 | $563.56 |
| AR | RR | $251.55 | $563.58 |
| AZ | RR | $256.63 | $527.94 |
| CA | RR | $185.56 | $563.59 |
| CO | RR | $249.97 | $563.56 |
| CT | RR | $234.53 | $563.56 |
| DC | RR | $219.86 | $528.50 |
| DE | RR | $219.86 | $527.94 |
| FL | RR | $251.55 | $558.41 |
| GA | RR | $251.55 | $563.56 |
| HI | RR | $563.58 | — |
| IA | RR | $257.64 | $563.56 |
| ID | RR | $249.97 | $563.56 |
| IL | RR | $230.02 | $563.56 |
| IN | RR | $230.02 | $563.56 |
| KS | RR | $257.64 | $563.56 |
| KY | RR | $251.55 | $563.54 |
| LA | RR | $251.55 | $563.57 |
| MA | RR | $234.53 | $563.56 |
| MD | RR | $219.86 | $563.57 |
| ME | RR | $234.53 | $563.56 |
| MI | RR | $230.02 | $527.94 |
| MN | RR | $257.64 | $563.56 |
| MO | RR | $257.64 | $563.56 |
| MS | RR | $251.55 | $563.55 |
| MT | RR | $249.97 | $527.94 |
| NC | RR | $251.55 | $563.56 |
| ND | RR | $257.64 | $551.44 |
| NE | RR | $257.64 | $563.56 |
| NH | RR | $234.53 | $563.56 |
| NJ | RR | $219.86 | $527.94 |
| NM | RR | $256.63 | $543.78 |
| NV | RR | $185.56 | $527.94 |
| NY | RR | $219.86 | $563.56 |
| OH | RR | $230.02 | $563.56 |
| OK | RR | $256.63 | $563.56 |
| OR | RR | $185.56 | $563.56 |
| PA | RR | $219.86 | $527.94 |
| PR | RR | $563.59 | — |
| RI | RR | $234.53 | $563.56 |
| SC | RR | $251.55 | $552.69 |
| SD | RR | $257.64 | $563.54 |
| TN | RR | $251.55 | $563.57 |
| TX | RR | $256.63 | $563.56 |
| UT | RR | $249.97 | $563.56 |
| VA | RR | $251.55 | $563.56 |
| VI | RR | $563.56 | — |
| VT | RR | $234.53 | $563.56 |
| WA | RR | $185.56 | $563.60 |
| WI | RR | $230.02 | $563.56 |
| WV | RR | $251.55 | $563.54 |
| WY | RR | $249.97 | $563.57 |
How the E0277 fee compares
| Measure | Value |
|---|---|
| Rank among 34 E02 codes billed RR (lowest = 1) | 34 |
| Family fee range (average of state fees) | $1.55–$263.61 |
| Rural fee uplift | 111.2% |
Who bills E0277 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 1,038 |
| Suppliers billing purchases | — |
| Referring clinicians | 5,173 |
| Medicare beneficiaries | 6,639 |
| States with claims | 52 |
| Share of services in top 3 states (California, New York, New Jersey) | 31% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 1,037 | 6,551 |
| 2023 | 1,052 | 6,549 |
| 2024 | 1,038 | 6,639 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0277, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 30,152 | 6,551 | $211.89 | $162.69 |
| 2023 | 30,986 | 6,549 | $224.73 | $171.58 |
| 2024 | 31,089 | 6,639 | $212.49 | $162.29 |
States with the most E0277 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 4,052 | $124.06 |
| New York | 2,921 | $135.61 |
| New Jersey | 2,775 | $108.97 |
| Florida | 2,334 | $171.48 |
| Pennsylvania | 1,771 | $151.54 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
Medicare policy articles for this code
- A52490: Pressure Reducing Support Surfaces - Group 2 - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
Covered diagnoses (52 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| L89.100 | Pressure ulcer of unspecified part of back, unstageable | 1 |
| L89.102 | Pressure ulcer of unspecified part of back, stage 2 | 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 |
| L89.110 | Pressure ulcer of right upper back, unstageable | 1 |
| L89.112 | Pressure ulcer of right upper back, stage 2 | 1 |
| L89.113 | Pressure ulcer of right upper back, stage 3 | 1 |
| L89.114 | Pressure ulcer of right upper back, stage 4 | 1 |
| L89.120 | Pressure ulcer of left upper back, unstageable | 1 |
| L89.122 | Pressure ulcer of left upper back, stage 2 | 1 |
Showing 10 of 52. The full list, non-covered diagnoses and CSV export are in Caduvo.
What changed for E0277
- 2026-01-01: Average state fee (RR) rose 2.6%: $256.90 to $263.61
- 1992-01-01: E0277 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 E0277?
E0277 is the HCPCS Level II code for powered pressure-reducing air mattress. Short descriptor: "Powered pres-redu air mattrs".
How much does Medicare pay for E0277?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $185.56–$563.59. Rural fees can be higher.
Does Medicare cover E0277?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Which diagnoses support coverage for E0277?
Medicare policy articles that cite E0277 list 52 covered ICD-10-CM diagnosis codes across 1 article. The most cited include L89.100 (Pressure ulcer of unspecified part of back, unstageable), L89.102 (Pressure ulcer of unspecified part of back, stage 2), L89.103 (Pressure ulcer of unspecified part of back, stage 3). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
Did the Medicare fee for E0277 change in 2026?
The average non-rural state fee for RR moved from $256.90 in 2025 to $263.61 in 2026 (+2.6%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0277 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 E0277
- Watch E0277 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0277
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.