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

FieldValue
SectionE codes — Durable medical equipment
Coverage codeC — Carrier judgment
Pricing indicator36 — DMEPOS: capped rental item
BETOS categoryD1E — Other durable medical equipment
Added1998-01-01
Last action effective1998-01-01

2026 Medicare DMEPOS fee schedule for E0373

ModifierMeaningLowest state feeHighest state feeCeilingFloor
RRrental (monthly)$185.56$576.49——
StateModifierFeeRural fee
AKRR$562.75—
ALRR$251.55$503.06
ARRR$251.55$508.90
AZRR$256.63$483.69
CARR$185.56$492.99
CORR$249.97$508.90
CTRR$234.53$508.90
DCRR$219.86$508.90
DERR$219.86$501.90
FLRR$251.55$478.85
GARR$251.55$499.55
HIRR$488.61—
IARR$257.64$508.90
IDRR$249.97$508.90
ILRR$230.02$508.90
INRR$230.02$508.90
KSRR$257.64$508.90
KYRR$251.55$508.90
LARR$251.55$504.24
MARR$234.53$508.90
MDRR$219.86$489.44
MERR$234.53$508.90
MIRR$230.02$494.39
MNRR$257.64$508.90
MORR$257.64$508.90
MSRR$251.55$471.52
MTRR$249.97$473.66
NCRR$251.55$508.90
NDRR$257.64$473.15
NERR$257.64$508.90
NHRR$234.53$508.90
NJRR$219.86$487.58
NMRR$256.63$466.94
NVRR$185.56$492.19
NYRR$219.86$499.46
OHRR$230.02$508.90
OKRR$256.63$508.90
ORRR$185.56$508.90
PARR$219.86$495.16
PRRR$576.49—
RIRR$234.53$452.29
SCRR$251.55$496.91
SDRR$257.64$503.62
TNRR$251.55$487.24
TXRR$256.63$508.90
UTRR$249.97$508.90
VARR$251.55$489.74
VIRR$508.90—
VTRR$234.53$508.90
WARR$185.56$508.90
WIRR$230.02$508.90
WVRR$251.55$498.13
WYRR$249.97$502.48

How the E0373 fee compares

MeasureValue
Rank among 13 E03 codes billed RR (lowest = 1)10
Family fee range (average of state fees)$1.24–$617.56
Rural fee uplift91.0%

Who bills E0373 (2024)

MeasureValue
Suppliers billing rentals18
Suppliers billing purchases—
Referring clinicians121
Medicare beneficiaries149
States with claims9
Share of services in top 3 states (Georgia, Illinois, California)76%
YearSuppliersBeneficiaries
202221249
202317164
202418149

Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.

Medicare utilization for E0373, 2022–2024

YearServicesBeneficiariesAvg. allowedAvg. paid
20221,069249$301.68$230.47
2023831164$321.51$247.17
2024666149$329.76$254.85

States with the most E0373 services (2024)

StateServicesAvg. paid
Georgia191$261.84
Illinois162$269.78
California123$248.97
New Jersey45$174.92
Wisconsin35$245.28

NCCI unit limits (MUE)

Claim typeMax units per dayRationale
DME suppliers1Code Descriptor / CPT Instruction

Medicare policy articles for this code

Covered diagnoses (52 ICD-10-CM codes)

The diagnoses most often listed as covered in the policy articles above:

ICD-10-CMDiagnosisArticles listing it
L89.100Pressure ulcer of unspecified part of back, unstageable1
L89.102Pressure ulcer of unspecified part of back, stage 21
L89.103Pressure ulcer of unspecified part of back, stage 31
L89.104Pressure ulcer of unspecified part of back, stage 41
L89.110Pressure ulcer of right upper back, unstageable1
L89.112Pressure ulcer of right upper back, stage 21
L89.113Pressure ulcer of right upper back, stage 31
L89.114Pressure ulcer of right upper back, stage 41
L89.120Pressure ulcer of left upper back, unstageable1
L89.122Pressure ulcer of left upper back, stage 21

Showing 10 of 52. The full list, non-covered diagnoses and CSV export are in Caduvo.

What changed for E0373

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

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

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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