E0490 HCPCS code: Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote
E0490 is the HCPCS Level II code for power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote. The 2026 Medicare DMEPOS fee schedule pays $97.55 to $130.12 (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 8 of 19 E04 codes billed RR (family range $5.28–$1,572.12).
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 | 2023-10-01 |
| Last action effective | 2023-10-01 |
2026 Medicare DMEPOS fee schedule for E0490
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $97.55 | $130.12 | — | — |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $97.55 | — |
| AL | RR | $127.51 | — |
| AR | RR | $108.44 | — |
| AZ | RR | $127.58 | — |
| CA | RR | $108.44 | — |
| CO | RR | $126.46 | — |
| CT | RR | $112.53 | — |
| DC | RR | $121.70 | — |
| DE | RR | $127.58 | — |
| FL | RR | $127.58 | — |
| GA | RR | $127.58 | — |
| HI | RR | $104.32 | — |
| IA | RR | $108.44 | — |
| ID | RR | $127.58 | — |
| IL | RR | $127.58 | — |
| IN | RR | $127.58 | — |
| KS | RR | $127.58 | — |
| KY | RR | $127.58 | — |
| LA | RR | $108.44 | — |
| MA | RR | $127.58 | — |
| MD | RR | $108.44 | — |
| ME | RR | $127.58 | — |
| MI | RR | $108.44 | — |
| MN | RR | $127.58 | — |
| MO | RR | $127.58 | — |
| MS | RR | $108.44 | — |
| MT | RR | $127.58 | — |
| NC | RR | $111.34 | — |
| ND | RR | $108.44 | — |
| NE | RR | $127.58 | — |
| NH | RR | $108.44 | — |
| NJ | RR | $127.58 | — |
| NM | RR | $117.60 | — |
| NV | RR | $118.76 | — |
| NY | RR | $126.55 | — |
| OH | RR | $127.58 | — |
| OK | RR | $127.58 | — |
| OR | RR | $127.58 | — |
| PA | RR | $127.58 | — |
| PR | RR | $130.12 | — |
| RI | RR | $108.44 | — |
| SC | RR | $116.88 | — |
| SD | RR | $108.44 | — |
| TN | RR | $108.44 | — |
| TX | RR | $127.58 | — |
| UT | RR | $127.58 | — |
| VA | RR | $112.60 | — |
| VI | RR | $126.55 | — |
| VT | RR | $108.44 | — |
| WA | RR | $127.58 | — |
| WI | RR | $127.58 | — |
| WV | RR | $127.58 | — |
| WY | RR | $111.41 | — |
How the E0490 fee compares
| Measure | Value |
|---|---|
| Rank among 19 E04 codes billed RR (lowest = 1) | 8 |
| Family fee range (average of state fees) | $5.28–$1,572.12 |
| Rural fee uplift | — |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
| outpatient hospital claims | 1 | Code Descriptor / CPT Instruction |
| practitioner claims | 1 | Code Descriptor / CPT Instruction |
What changed for E0490
- 2026-01-01: Average state fee (RR) rose 2.0%: $117.67 to $120.02
- 2023-10-01: E0490 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 E0490?
E0490 is the HCPCS Level II code for power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle, controlled by hardware remote. Short descriptor: "Control unit nm hw remote".
How much does Medicare pay for E0490?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $97.55–$130.12. Rural fees can be higher.
Does Medicare cover E0490?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E0490 change in 2026?
The average non-rural state fee for RR moved from $117.67 in 2025 to $120.02 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0490 can be billed per day?
1 on DME suppliers; 1 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
Related E04 codes
- E0424 — Stationary compressed gaseous oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing ($94.56–$177.16)
- E0425 — Stationary compressed gas system, purchase; includes regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing
- E0430 — Portable gaseous oxygen system, purchase; includes regulator, flowmeter, humidifier, cannula or mask, and tubing
- E0431 — Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing ($21.24–$88.58)
- E0433 — Portable liquid oxygen system, rental; home liquefier used to fill portable liquid oxygen containers, includes portable containers, regulator, flowmeter, humidifier, cannula or mask and tubing, with or without supply reservoir and contents gauge ($46.28–$88.58)
- E0434 — Portable liquid oxygen system, rental; includes portable container, supply reservoir, humidifier, flowmeter, refill adaptor, contents gauge, cannula or mask, and tubing ($46.28–$88.58)
- E0435 — Portable liquid oxygen system, purchase; includes portable container, supply reservoir, flowmeter, humidifier, contents gauge, cannula or mask, tubing and refill adaptor
- E0439 — Stationary liquid oxygen system, rental; includes container, contents, regulator, flowmeter, humidifier, nebulizer, cannula or mask, & tubing ($94.56–$177.16)
- E0440 — Stationary liquid oxygen system, purchase; includes use of reservoir, contents indicator, regulator, flowmeter, humidifier, nebulizer, cannula or mask, and tubing
- E0441 — Stationary oxygen contents, gaseous, 1 month's supply = 1 unit ($61.92–$75.90)
- E0442 — Stationary oxygen contents, liquid, 1 month's supply = 1 unit ($61.92–$75.90)
- E0443 — Portable oxygen contents, gaseous, 1 month's supply = 1 unit ($56.56–$72.51)
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Next steps
- Run a reimbursement report for a device billed under E0490
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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.