E0607 HCPCS code: Home blood glucose monitor

E0607 is the HCPCS Level II code for home blood glucose monitor. The 2026 Medicare DMEPOS fee schedule pays $95.23 to $108.55 (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 2% from 2022 to 2024 (152,550 to 155,515 services). In 2024, 32,200 suppliers billed Medicare for E0607 (purchases), serving 155,331 beneficiaries; California, New York, Illinois accounted for 27% of services. Its average fee ranks 3 of 26 E06 codes billed NU (family range $38.67–$7,347.82).

Code details

2026 Medicare DMEPOS fee schedule for E0607

How the E0607 fee compares

Who bills E0607 (2024)

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

Medicare utilization for E0607, 2022–2024

States with the most E0607 services (2024)

NCCI unit limits (MUE)

Medicare policy articles for this code

• A52464: Glucose Monitor - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance

Covered diagnoses (461 ICD-10-CM codes)

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

Showing 10 of 461. The full list, non-covered diagnoses and CSV export are in Caduvo.

What changed for E0607

• 2026-01-01: Average state fee (NU) rose 2.0%: $94.10 to $95.98
• 2026-01-01: Average state fee (RR) rose 2.0%: $9.41 to $9.60
• 2026-01-01: Average state fee (UE) rose 2.0%: $70.56 to $71.97
• 1986-01-01: E0607 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 E0607?

E0607 is the HCPCS Level II code for home blood glucose monitor. Short descriptor: "Blood glucose monitor home".

How much does Medicare pay for E0607?

Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $95.23–$108.55; RR (rental (monthly)): $9.52–$10.87; UE (used equipment, purchased): $71.40–$81.42. Rural fees can be higher.

Does Medicare cover E0607?

Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.

Which diagnoses support coverage for E0607?

Medicare policy articles that cite E0607 list 461 covered ICD-10-CM diagnosis codes across 1 article. The most cited include E08.00 (Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)), E08.01 (Diabetes mellitus due to underlying condition with hyperosmolarity with coma), E08.10 (Diabetes mellitus due to underlying condition with ketoacidosis without coma). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.

Did the Medicare fee for E0607 change in 2026?

The average non-rural state fee for NU moved from $94.10 in 2025 to $95.98 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of E0607 can be billed per day?

1 on DME suppliers (NCCI medically unlikely edits).

Related E06 codes

• E0600 — Respiratory suction pump, home model, portable or stationary, electric ($55.46–$96.87)
• E0601 — Continuous positive airway pressure (CPAP) device ($50.04–$100.22)
• E0602 — Breast pump, manual, any type ($4.24–$50.46)
• E0603 — Breast pump, electric (ac and/or dc), any type
• E0604 — Breast pump, hospital grade, electric (ac and / or dc), any type
• E0605 — Vaporizer, room type ($2.79–$107.68)
• E0606 — Postural drainage board ($27.80–$33.43)
• E0610 — Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems) ($30.39–$720.87)
• E0615 — Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems ($54.03–$720.87)
• E0616 — Implantable cardiac event recorder with memory, activator and programmer
• E0617 — External defibrillator with integrated electrocardiogram analysis ($433.30–$577.30)
• E0618 — Apnea monitor, without recording feature ($339.62–$494.57)

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Next steps

• Run a reimbursement report for a device billed under E0607
• Watch E0607 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for E0607

Sources: CMS HCPCS Level II release October 2026; 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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