E0616 HCPCS code: Implantable cardiac event recorder with memory, activator and programmer
E0616 is the HCPCS Level II code for implantable cardiac event recorder with memory, activator and programmer. 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.
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | D1E — Other durable medical equipment |
| Added | 2000-01-01 |
| Last action effective | 2005-04-01 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | CMS Policy |
| outpatient hospital claims | 1 | Code Descriptor / CPT Instruction |
| practitioner claims | 1 | Code Descriptor / CPT Instruction |
What changed for E0616
- 2000-01-01: E0616 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 E0616?
E0616 is the HCPCS Level II code for implantable cardiac event recorder with memory, activator and programmer. Short descriptor: "Cardiac event recorder".
Does Medicare cover E0616?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
How many units of E0616 can be billed per day?
1 on DME suppliers; 1 on outpatient hospital claims; 1 on practitioner claims (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)
- E0607 — Home blood glucose monitor ($9.52–$108.55)
- 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)
- 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 E0616
- Watch E0616 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0616
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; 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.