E0640 HCPCS code: Patient lift, fixed system, includes all components/accessories
E0640 is the HCPCS Level II code for patient lift, fixed system, includes all components/accessories. The 2026 Medicare DMEPOS fee schedule pays $135.13 to $218.07 (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 fell 22% from 2022 to 2023 (45 to 35 services). In 2023, 3 suppliers billed Medicare for E0640 (rentals), serving 0 beneficiaries. Its average fee ranks 36 of 49 E06 codes billed RR (family range $4.26–$1,250.50).
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 | Y2 |
| Added | 2005-01-01 |
| Last action effective | 2007-01-01 |
2026 Medicare DMEPOS fee schedule for E0640
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $135.13 | $218.07 | $158.98 | $135.13 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $158.91 | — |
| AL | RR | $135.13 | — |
| AR | RR | $158.98 | — |
| AZ | RR | $158.98 | — |
| CA | RR | $157.34 | — |
| CO | RR | $158.98 | — |
| CT | RR | $136.43 | — |
| DC | RR | $135.13 | — |
| DE | RR | $135.13 | — |
| FL | RR | $135.13 | — |
| GA | RR | $156.56 | — |
| HI | RR | $169.92 | — |
| IA | RR | $146.59 | — |
| ID | RR | $158.98 | — |
| IL | RR | $158.98 | — |
| IN | RR | $158.98 | — |
| KS | RR | $156.99 | — |
| KY | RR | $158.98 | — |
| LA | RR | $158.98 | — |
| MA | RR | $158.98 | — |
| MD | RR | $135.13 | — |
| ME | RR | $158.98 | — |
| MI | RR | $158.98 | — |
| MN | RR | $135.13 | — |
| MO | RR | $145.70 | — |
| MS | RR | $158.98 | — |
| MT | RR | $158.98 | — |
| NC | RR | $158.98 | — |
| ND | RR | $158.98 | — |
| NE | RR | $158.98 | — |
| NH | RR | $158.98 | — |
| NJ | RR | $135.13 | — |
| NM | RR | $157.82 | — |
| NV | RR | $158.98 | — |
| NY | RR | $154.37 | — |
| OH | RR | $141.64 | — |
| OK | RR | $158.98 | — |
| OR | RR | $153.01 | — |
| PA | RR | $143.39 | — |
| PR | RR | $218.07 | — |
| RI | RR | $135.21 | — |
| SC | RR | $158.98 | — |
| SD | RR | $158.98 | — |
| TN | RR | $158.98 | — |
| TX | RR | $158.98 | — |
| UT | RR | $136.50 | — |
| VA | RR | $135.13 | — |
| VI | RR | $154.34 | — |
| VT | RR | $158.98 | — |
| WA | RR | $152.67 | — |
| WI | RR | $137.61 | — |
| WV | RR | $135.13 | — |
| WY | RR | $158.98 | — |
How the E0640 fee compares
| Measure | Value |
|---|---|
| Rank among 49 E06 codes billed RR (lowest = 1) | 36 |
| Family fee range (average of state fees) | $4.26–$1,250.50 |
| Rural fee uplift | — |
Who bills E0640 (2023)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 3 |
| Suppliers billing purchases | — |
| Referring clinicians | 5 |
| Medicare beneficiaries | 0 |
| States with claims | 2 |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 5 | 0 |
| 2023 | 3 | 0 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0640, 2022–2023
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 45 | 0 | $107.71 | $79.94 |
| 2023 | 35 | 0 | $117.62 | $84.66 |
States with the most E0640 services (2023)
| State | Services | Avg. paid |
|---|---|---|
| Texas | 20 | $76.92 |
| Massachusetts | 14 | $93.46 |
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 E0640
- 2026-01-01: Average state fee (RR) rose 2.0%: $149.90 to $152.90
- 2005-01-01: E0640 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 E0640?
E0640 is the HCPCS Level II code for patient lift, fixed system, includes all components/accessories. Short descriptor: "Fixed patient lift system".
How much does Medicare pay for E0640?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $135.13–$218.07. Rural fees can be higher.
Does Medicare cover E0640?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E0640 change in 2026?
The average non-rural state fee for RR moved from $149.90 in 2025 to $152.90 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0640 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 E0640
- Watch E0640 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0640
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.