E0373 HCPCS code: Nonpowered advanced pressure reducing mattress
E0373 is the HCPCS Level II code for nonpowered advanced pressure reducing mattress. The 2026 Medicare DMEPOS fee schedule pays $185.56 to $576.49 (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. Medicare volume fell 38% from 2022 to 2024 (1,069 to 666 services). In 2024, 18 suppliers billed Medicare for E0373 (rentals), serving 149 beneficiaries; Georgia, Illinois, California accounted for 76% of services. Its average fee ranks 10 of 13 E03 codes billed RR (family range $1.24–$617.56); rural fees run 91% higher.
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 | 1998-01-01 |
| Last action effective | 1998-01-01 |
2026 Medicare DMEPOS fee schedule for E0373
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $185.56 | $576.49 | — | — |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $562.75 | — |
| AL | RR | $251.55 | $503.06 |
| AR | RR | $251.55 | $508.90 |
| AZ | RR | $256.63 | $483.69 |
| CA | RR | $185.56 | $492.99 |
| CO | RR | $249.97 | $508.90 |
| CT | RR | $234.53 | $508.90 |
| DC | RR | $219.86 | $508.90 |
| DE | RR | $219.86 | $501.90 |
| FL | RR | $251.55 | $478.85 |
| GA | RR | $251.55 | $499.55 |
| HI | RR | $488.61 | — |
| IA | RR | $257.64 | $508.90 |
| ID | RR | $249.97 | $508.90 |
| IL | RR | $230.02 | $508.90 |
| IN | RR | $230.02 | $508.90 |
| KS | RR | $257.64 | $508.90 |
| KY | RR | $251.55 | $508.90 |
| LA | RR | $251.55 | $504.24 |
| MA | RR | $234.53 | $508.90 |
| MD | RR | $219.86 | $489.44 |
| ME | RR | $234.53 | $508.90 |
| MI | RR | $230.02 | $494.39 |
| MN | RR | $257.64 | $508.90 |
| MO | RR | $257.64 | $508.90 |
| MS | RR | $251.55 | $471.52 |
| MT | RR | $249.97 | $473.66 |
| NC | RR | $251.55 | $508.90 |
| ND | RR | $257.64 | $473.15 |
| NE | RR | $257.64 | $508.90 |
| NH | RR | $234.53 | $508.90 |
| NJ | RR | $219.86 | $487.58 |
| NM | RR | $256.63 | $466.94 |
| NV | RR | $185.56 | $492.19 |
| NY | RR | $219.86 | $499.46 |
| OH | RR | $230.02 | $508.90 |
| OK | RR | $256.63 | $508.90 |
| OR | RR | $185.56 | $508.90 |
| PA | RR | $219.86 | $495.16 |
| PR | RR | $576.49 | — |
| RI | RR | $234.53 | $452.29 |
| SC | RR | $251.55 | $496.91 |
| SD | RR | $257.64 | $503.62 |
| TN | RR | $251.55 | $487.24 |
| TX | RR | $256.63 | $508.90 |
| UT | RR | $249.97 | $508.90 |
| VA | RR | $251.55 | $489.74 |
| VI | RR | $508.90 | — |
| VT | RR | $234.53 | $508.90 |
| WA | RR | $185.56 | $508.90 |
| WI | RR | $230.02 | $508.90 |
| WV | RR | $251.55 | $498.13 |
| WY | RR | $249.97 | $502.48 |
How the E0373 fee compares
| Measure | Value |
|---|---|
| Rank among 13 E03 codes billed RR (lowest = 1) | 10 |
| Family fee range (average of state fees) | $1.24–$617.56 |
| Rural fee uplift | 91.0% |
Who bills E0373 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 18 |
| Suppliers billing purchases | — |
| Referring clinicians | 121 |
| Medicare beneficiaries | 149 |
| States with claims | 9 |
| Share of services in top 3 states (Georgia, Illinois, California) | 76% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 21 | 249 |
| 2023 | 17 | 164 |
| 2024 | 18 | 149 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0373, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 1,069 | 249 | $301.68 | $230.47 |
| 2023 | 831 | 164 | $321.51 | $247.17 |
| 2024 | 666 | 149 | $329.76 | $254.85 |
States with the most E0373 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Georgia | 191 | $261.84 |
| Illinois | 162 | $269.78 |
| California | 123 | $248.97 |
| New Jersey | 45 | $174.92 |
| Wisconsin | 35 | $245.28 |
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 E0373
- 2026-01-01: Average state fee (RR) rose 2.6%: $254.72 to $261.39
- 1998-01-01: E0373 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 E0373?
E0373 is the HCPCS Level II code for nonpowered advanced pressure reducing mattress. Short descriptor: "Nonpowered pressure mattress".
How much does Medicare pay for E0373?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $185.56–$576.49. Rural fees can be higher.
Does Medicare cover E0373?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Which diagnoses support coverage for E0373?
Medicare policy articles that cite E0373 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 E0373 change in 2026?
The average non-rural state fee for RR moved from $254.72 in 2025 to $261.39 in 2026 (+2.6%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0373 can be billed per day?
1 on DME suppliers (NCCI medically unlikely edits).
Related E03 codes
- E0300 — Pediatric crib, hospital grade, fully enclosed, with or without top enclosure ($319.91–$369.16)
- E0301 — Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress ($187.86–$308.87)
- E0302 — Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress ($564.29–$862.87)
- E0303 — Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress ($189.35–$330.83)
- E0304 — Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress ($573.26–$898.22)
- E0305 — Bed side rails, half length ($12.31–$22.32)
- E0310 — Bed side rails, full length ($12.98–$203.16)
- E0315 — Bed accessory: board, table, or support device, any type
- E0316 — Safety enclosure frame/canopy for use with hospital bed, any type ($182.59–$286.86)
- E0325 — Urinal; male, jug-type, any material ($1.04–$14.22)
- E0326 — Urinal; female, jug-type, any material ($1.18–$20.09)
- E0328 — Hospital bed, pediatric, manual, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 inches above the spring, includes mattress
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 E0373
- Watch E0373 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0373
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.