E0635 HCPCS code: Patient lift, electric with seat or sling
E0635 is the HCPCS Level II code for patient lift, electric with seat or sling. The 2026 Medicare DMEPOS fee schedule pays $134.16 to $247.48 (RR, rental (monthly)) 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 4% from 2022 to 2024 (12,882 to 13,395 services). In 2024, 654 suppliers billed Medicare for E0635 (rentals), serving 2,763 beneficiaries; New York, California, Michigan accounted for 37% of services. Its average fee ranks 35 of 49 E06 codes billed RR (family range $4.26–$1,250.50); rural fees run 6% higher.
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 36 — DMEPOS: capped rental item |
| BETOS category | D1E — Other durable medical equipment |
| Added | 1986-01-01 |
| Last action effective | 1996-01-01 |
2026 Medicare DMEPOS fee schedule for E0635
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $134.16 | $247.48 | — | — |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $190.00 | — |
| AL | RR | $144.90 | $148.22 |
| AR | RR | $144.90 | $167.36 |
| AZ | RR | $157.25 | $167.36 |
| CA | RR | $152.30 | $167.36 |
| CO | RR | $148.22 | $148.22 |
| CT | RR | $146.46 | $148.22 |
| DC | RR | $134.16 | $148.22 |
| DE | RR | $134.16 | $148.22 |
| FL | RR | $144.90 | $148.22 |
| GA | RR | $144.90 | $167.36 |
| HI | RR | $201.14 | — |
| IA | RR | $145.05 | $148.22 |
| ID | RR | $148.88 | $167.36 |
| IL | RR | $144.38 | $164.82 |
| IN | RR | $144.38 | $167.36 |
| KS | RR | $145.05 | $154.19 |
| KY | RR | $144.90 | $167.36 |
| LA | RR | $144.90 | $167.36 |
| MA | RR | $146.46 | $167.36 |
| MD | RR | $134.16 | $148.22 |
| ME | RR | $146.46 | $167.36 |
| MI | RR | $144.38 | $167.36 |
| MN | RR | $145.05 | $148.22 |
| MO | RR | $145.05 | $148.22 |
| MS | RR | $144.90 | $167.36 |
| MT | RR | $148.88 | $167.36 |
| NC | RR | $144.90 | $167.36 |
| ND | RR | $145.05 | $167.36 |
| NE | RR | $145.05 | $160.01 |
| NH | RR | $146.46 | $167.36 |
| NJ | RR | $134.16 | $148.22 |
| NM | RR | $157.25 | $167.36 |
| NV | RR | $152.30 | $167.36 |
| NY | RR | $134.16 | $161.91 |
| OH | RR | $144.38 | $148.22 |
| OK | RR | $157.25 | $167.36 |
| OR | RR | $152.30 | $157.88 |
| PA | RR | $134.16 | $148.22 |
| PR | RR | $247.48 | — |
| RI | RR | $146.46 | $148.22 |
| SC | RR | $144.90 | $167.36 |
| SD | RR | $145.05 | $167.36 |
| TN | RR | $144.90 | $167.36 |
| TX | RR | $157.25 | $167.36 |
| UT | RR | $148.22 | $148.22 |
| VA | RR | $144.90 | $148.22 |
| VI | RR | $163.49 | — |
| VT | RR | $146.46 | $167.36 |
| WA | RR | $152.30 | $156.01 |
| WI | RR | $144.38 | $153.52 |
| WV | RR | $144.90 | $148.22 |
| WY | RR | $148.88 | $167.36 |
How the E0635 fee compares
| Measure | Value |
|---|---|
| Rank among 49 E06 codes billed RR (lowest = 1) | 35 |
| Family fee range (average of state fees) | $4.26–$1,250.50 |
| Rural fee uplift | 6.4% |
Who bills E0635 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 654 |
| Suppliers billing purchases | — |
| Referring clinicians | 2,434 |
| Medicare beneficiaries | 2,763 |
| States with claims | 46 |
| Share of services in top 3 states (New York, California, Michigan) | 37% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 632 | 2,586 |
| 2023 | 637 | 2,626 |
| 2024 | 654 | 2,763 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0635, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 12,882 | 2,586 | $105.09 | $77.95 |
| 2023 | 13,148 | 2,626 | $110.76 | $81.45 |
| 2024 | 13,395 | 2,763 | $114.39 | $85.30 |
States with the most E0635 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| New York | 2,088 | $76.09 |
| California | 1,876 | $86.92 |
| Michigan | 981 | $85.81 |
| Indiana | 916 | $92.43 |
| Texas | 830 | $87.57 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
Medicare policy articles for this code
- A52516: Patient Lifts - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
What changed for E0635
- 2026-01-01: Average state fee (RR) rose 2.6%: $146.03 to $149.87
- 1986-01-01: E0635 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 E0635?
E0635 is the HCPCS Level II code for patient lift, electric with seat or sling. Short descriptor: "Patient lift electric".
How much does Medicare pay for E0635?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $134.16–$247.48. Rural fees can be higher.
Does Medicare cover E0635?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for E0635 change in 2026?
The average non-rural state fee for RR moved from $146.03 in 2025 to $149.87 in 2026 (+2.6%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0635 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)
- 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)
- E0616 — Implantable cardiac event recorder with memory, activator and programmer
- E0617 — External defibrillator with integrated electrocardiogram analysis ($433.30–$577.30)
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 E0635
- Watch E0635 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0635
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.