E0636 HCPCS code: Multipositional patient support system, with integrated lift, patient accessible controls
E0636 is the HCPCS Level II code for multipositional patient support system, with integrated lift, patient accessible controls. The 2026 Medicare DMEPOS fee schedule pays $1,159.70 to $1,650.86 (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 rose 3816% from 2022 to 2024 (80 to 3,133 services). In 2024, 10 suppliers billed Medicare for E0636 (rentals), serving 550 beneficiaries. Its average fee ranks 49 of 49 E06 codes billed RR (family range $4.26–$1,250.50); rural fees run 14% higher.
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 | 2003-01-01 |
| Last action effective | 2003-01-01 |
2026 Medicare DMEPOS fee schedule for E0636
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $1,159.70 | $1,650.86 | — | — |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $1,500.57 | — |
| AL | RR | $1,224.53 | $1,426.30 |
| AR | RR | $1,224.53 | $1,426.30 |
| AZ | RR | $1,240.10 | $1,426.30 |
| CA | RR | $1,195.10 | $1,426.30 |
| CO | RR | $1,261.88 | $1,426.30 |
| CT | RR | $1,202.31 | $1,426.30 |
| DC | RR | $1,159.70 | $1,426.30 |
| DE | RR | $1,159.70 | $1,426.30 |
| FL | RR | $1,224.53 | $1,426.30 |
| GA | RR | $1,224.53 | $1,426.30 |
| HI | RR | $1,500.57 | — |
| IA | RR | $1,281.77 | $1,426.30 |
| ID | RR | $1,261.88 | $1,426.30 |
| IL | RR | $1,246.98 | $1,426.30 |
| IN | RR | $1,246.98 | $1,426.30 |
| KS | RR | $1,281.77 | $1,426.30 |
| KY | RR | $1,224.53 | $1,426.30 |
| LA | RR | $1,224.53 | $1,426.30 |
| MA | RR | $1,202.31 | $1,426.30 |
| MD | RR | $1,159.70 | $1,426.30 |
| ME | RR | $1,202.31 | $1,426.30 |
| MI | RR | $1,246.98 | $1,426.30 |
| MN | RR | $1,281.77 | $1,426.30 |
| MO | RR | $1,281.77 | $1,426.30 |
| MS | RR | $1,224.53 | $1,426.30 |
| MT | RR | $1,261.88 | $1,426.30 |
| NC | RR | $1,224.53 | $1,426.30 |
| ND | RR | $1,281.77 | $1,426.30 |
| NE | RR | $1,281.77 | $1,426.30 |
| NH | RR | $1,202.31 | $1,426.30 |
| NJ | RR | $1,159.70 | $1,426.30 |
| NM | RR | $1,240.10 | $1,426.30 |
| NV | RR | $1,195.10 | $1,426.30 |
| NY | RR | $1,159.70 | $1,426.30 |
| OH | RR | $1,246.98 | $1,426.30 |
| OK | RR | $1,240.10 | $1,426.30 |
| OR | RR | $1,195.10 | $1,426.30 |
| PA | RR | $1,159.70 | $1,426.30 |
| PR | RR | $1,650.86 | — |
| RI | RR | $1,202.31 | $1,426.30 |
| SC | RR | $1,224.53 | $1,426.30 |
| SD | RR | $1,281.77 | $1,426.30 |
| TN | RR | $1,224.53 | $1,426.30 |
| TX | RR | $1,240.10 | $1,426.30 |
| UT | RR | $1,261.88 | $1,426.30 |
| VA | RR | $1,224.53 | $1,426.30 |
| VI | RR | $1,500.57 | — |
| VT | RR | $1,202.31 | $1,426.30 |
| WA | RR | $1,195.10 | $1,426.30 |
| WI | RR | $1,246.98 | $1,426.30 |
| WV | RR | $1,224.53 | $1,426.30 |
| WY | RR | $1,261.88 | $1,426.30 |
How the E0636 fee compares
| Measure | Value |
|---|---|
| Rank among 49 E06 codes billed RR (lowest = 1) | 49 |
| Family fee range (average of state fees) | $4.26–$1,250.50 |
| Rural fee uplift | 14.1% |
Who bills E0636 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 10 |
| Suppliers billing purchases | — |
| Referring clinicians | 87 |
| Medicare beneficiaries | 550 |
| States with claims | 4 |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 11 | 18 |
| 2023 | 11 | 491 |
| 2024 | 10 | 550 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0636, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 80 | 18 | $966.52 | $754.82 |
| 2023 | 4,205 | 491 | $869.32 | $680.64 |
| 2024 | 3,133 | 550 | $867.95 | $677.67 |
States with the most E0636 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 3,015 | $673.60 |
| Minnesota | 68 | $841.98 |
| Texas | 25 | $725.96 |
| New Jersey | 11 | $630.63 |
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 E0636
- 2026-01-01: Average state fee (RR) rose 2.7%: $1,218.02 to $1,250.50
- 2003-01-01: E0636 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 E0636?
E0636 is the HCPCS Level II code for multipositional patient support system, with integrated lift, patient accessible controls. Short descriptor: "Pt support & positioning sys".
How much does Medicare pay for E0636?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $1,159.70–$1,650.86. Rural fees can be higher.
Does Medicare cover E0636?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E0636 change in 2026?
The average non-rural state fee for RR moved from $1,218.02 in 2025 to $1,250.50 in 2026 (+2.7%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0636 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 E0636
- Watch E0636 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0636
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.