E0738 HCPCS code: Upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories
E0738 is the HCPCS Level II code for upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories. The 2026 Medicare DMEPOS fee schedule pays $2,039.64 (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. In 2024, 1 suppliers billed Medicare for E0738 (rentals), serving 11 beneficiaries. Its average fee ranks 26 of 27 E07 codes billed RR (family range $6.81–$16,384.73).
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 | 2024-04-01 |
| Last action effective | 2024-10-01 |
2026 Medicare DMEPOS fee schedule for E0738
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $2,039.64 | $2,039.64 | $2,039.64 | $1,733.69 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $2,039.64 | — |
| AL | RR | $2,039.64 | — |
| AR | RR | $2,039.64 | — |
| AZ | RR | $2,039.64 | — |
| CA | RR | $2,039.64 | — |
| CO | RR | $2,039.64 | — |
| CT | RR | $2,039.64 | — |
| DC | RR | $2,039.64 | — |
| DE | RR | $2,039.64 | — |
| FL | RR | $2,039.64 | — |
| GA | RR | $2,039.64 | — |
| HI | RR | $2,039.64 | — |
| IA | RR | $2,039.64 | — |
| ID | RR | $2,039.64 | — |
| IL | RR | $2,039.64 | — |
| IN | RR | $2,039.64 | — |
| KS | RR | $2,039.64 | — |
| KY | RR | $2,039.64 | — |
| LA | RR | $2,039.64 | — |
| MA | RR | $2,039.64 | — |
| MD | RR | $2,039.64 | — |
| ME | RR | $2,039.64 | — |
| MI | RR | $2,039.64 | — |
| MN | RR | $2,039.64 | — |
| MO | RR | $2,039.64 | — |
| MS | RR | $2,039.64 | — |
| MT | RR | $2,039.64 | — |
| NC | RR | $2,039.64 | — |
| ND | RR | $2,039.64 | — |
| NE | RR | $2,039.64 | — |
| NH | RR | $2,039.64 | — |
| NJ | RR | $2,039.64 | — |
| NM | RR | $2,039.64 | — |
| NV | RR | $2,039.64 | — |
| NY | RR | $2,039.64 | — |
| OH | RR | $2,039.64 | — |
| OK | RR | $2,039.64 | — |
| OR | RR | $2,039.64 | — |
| PA | RR | $2,039.64 | — |
| PR | RR | $2,039.64 | — |
| RI | RR | $2,039.64 | — |
| SC | RR | $2,039.64 | — |
| SD | RR | $2,039.64 | — |
| TN | RR | $2,039.64 | — |
| TX | RR | $2,039.64 | — |
| UT | RR | $2,039.64 | — |
| VA | RR | $2,039.64 | — |
| VI | RR | $2,039.64 | — |
| VT | RR | $2,039.64 | — |
| WA | RR | $2,039.64 | — |
| WI | RR | $2,039.64 | — |
| WV | RR | $2,039.64 | — |
| WY | RR | $2,039.64 | — |
How the E0738 fee compares
| Measure | Value |
|---|---|
| Rank among 27 E07 codes billed RR (lowest = 1) | 26 |
| Family fee range (average of state fees) | $6.81–$16,384.73 |
| Rural fee uplift | — |
Who bills E0738 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 1 |
| Suppliers billing purchases | — |
| Referring clinicians | 10 |
| Medicare beneficiaries | 11 |
| States with claims | 0 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0738, 2024–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2024 | 25 | 11 | $1,952.78 | $1,530.98 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
What changed for E0738
- 2026-01-01: Average state fee (RR) rose 2.0%: $1,999.65 to $2,039.64
- 2024-04-01: E0738 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 E0738?
E0738 is the HCPCS Level II code for upper extremity rehabilitation system providing active assistance to facilitate muscle re-education, include microprocessor, all components and accessories. Short descriptor: "Upper extremity rehab".
How much does Medicare pay for E0738?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $2,039.64. Rural fees can be higher.
Does Medicare cover E0738?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E0738 change in 2026?
The average non-rural state fee for RR moved from $1,999.65 in 2025 to $2,039.64 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0738 can be billed per day?
1 on DME suppliers (NCCI medically unlikely edits).
Related E07 codes
- E0700 — Safety equipment, device or accessory, any type
- E0705 — Transfer device, any type, each ($5.34–$134.77)
- E0710 — Restraints, any type (body, chest, wrist or ankle)
- E0711 — Upper extremity medical tubing/lines enclosure or covering device, restricts elbow range of motion
- E0715 — Intravaginal device intended to strengthen pelvic floor muscles during kegel exercises
- E0716 — Supplies and accessories for intravaginal device intended to strengthen pelvic floor muscles during kegel exercises
- E0720 — Transcutaneous electrical nerve stimulation (TENS) device, two lead, localized stimulation ($66.89–$393.27)
- E0721 — Transcutaneous electrical nerve stimulator for nerves in the auricular region
- E0730 — Transcutaneous electrical nerve stimulation (TENS) device, four or more leads, for multiple nerve stimulation ($68.53–$425.83)
- E0731 — Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) ($87.58–$480.99)
- E0732 — Cranial electrotherapy stimulation (ces) system, any type ($31.06–$69.51)
- E0733 — Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve ($31.06–$69.51)
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 E0738
- Watch E0738 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0738
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.