E0791 HCPCS code: Parenteral infusion pump, stationary, single or multi-channel

E0791 is the HCPCS Level II code for parenteral infusion pump, stationary, single or multi-channel. The 2026 Medicare DMEPOS fee schedule pays $282.07 to $427.07 (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 132% from 2022 to 2024 (22 to 51 services). In 2024, 10 suppliers billed Medicare for E0791 (rentals), serving 24 beneficiaries. Its average fee ranks 14 of 27 E07 codes billed RR (family range $6.81–$16,384.73); rural fees run 7% higher.

Code details

FieldValue
SectionE codes — Durable medical equipment
Coverage codeD — Special coverage instructions apply
Pricing indicator36 — DMEPOS: capped rental item
BETOS categoryD1E — Other durable medical equipment
Added1989-01-01
Last action effective1996-01-01

2026 Medicare DMEPOS fee schedule for E0791

ModifierMeaningLowest state feeHighest state feeCeilingFloor
RRrental (monthly)$282.07$427.07——
StateModifierFeeRural fee
AKRR$411.29—
ALRR$367.48$375.25
ARRR$367.48$379.72
AZRR$367.48$409.05
CARR$367.48$409.05
CORR$367.48$409.05
CTRR$367.48$409.05
DCRR$367.48$375.25
DERR$367.48$375.25
FLRR$367.48$375.25
GARR$367.48$375.25
HIRR$427.07—
IARR$367.48$409.05
IDRR$367.48$409.05
ILRR$367.48$409.05
INRR$367.48$409.05
KSRR$367.48$409.05
KYRR$367.48$409.05
LARR$367.48$375.25
MARR$367.48$409.05
MDRR$367.48$375.25
MERR$367.48$409.05
MIRR$367.48$409.05
MNRR$367.48$375.25
MORR$367.48$409.05
MSRR$367.48$375.25
MTRR$367.48$375.25
NCRR$367.48$409.05
NDRR$367.48$375.25
NERR$367.48$409.05
NHRR$367.48$409.05
NJRR$367.48$375.25
NMRR$367.48$409.05
NVRR$367.48$409.05
NYRR$367.48$375.25
OHRR$367.48$375.25
OKRR$367.48$409.05
ORRR$367.48$409.05
PARR$367.48$375.25
PRRR$282.07—
RIRR$367.48$377.46
SCRR$367.48$398.68
SDRR$367.48$375.25
TNRR$367.48$409.05
TXRR$367.48$409.05
UTRR$367.48$375.41
VARR$367.48$390.75
VIRR$375.25—
VTRR$367.48$409.05
WARR$367.48$409.05
WIRR$367.48$375.25
WVRR$367.48$375.25
WYRR$367.48$375.25

How the E0791 fee compares

MeasureValue
Rank among 27 E07 codes billed RR (lowest = 1)14
Family fee range (average of state fees)$6.81–$16,384.73
Rural fee uplift6.9%

Who bills E0791 (2024)

MeasureValue
Suppliers billing rentals10
Suppliers billing purchases—
Referring clinicians19
Medicare beneficiaries24
States with claims3
YearSuppliersBeneficiaries
20221220
20231319
20241024

Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.

Medicare utilization for E0791, 2022–2024

YearServicesBeneficiariesAvg. allowedAvg. paid
20222220$327.65$259.74
20235019$307.00$240.69
20245124$293.65$222.19

States with the most E0791 services (2024)

StateServicesAvg. paid
New York13$191.42
Texas13$260.91
Pennsylvania13$214.74

NCCI unit limits (MUE)

Claim typeMax units per dayRationale
DME suppliers1Code Descriptor / CPT Instruction

Medicare policy articles for this code

Covered diagnoses (460 ICD-10-CM codes)

The diagnoses most often listed as covered in the policy articles above:

ICD-10-CMDiagnosisArticles listing it
C91.00Acute lymphoblastic leukemia not having achieved remission1
C91.01Acute lymphoblastic leukemia, in remission1
C91.02Acute lymphoblastic leukemia, in relapse1
D80.0Hereditary hypogammaglobulinemia1
D80.2Selective deficiency of immunoglobulin A [IgA]1
D80.3Selective deficiency of immunoglobulin G [IgG] subclasses1
D80.4Selective deficiency of immunoglobulin M [IgM]1
D80.5Immunodeficiency with increased immunoglobulin M [IgM]1
D80.6Antibody deficiency with near-normal immunoglobulins or with hyperimmunoglobulinemia1
D80.7Transient hypogammaglobulinemia of infancy1

Showing 10 of 460. The full list, non-covered diagnoses and CSV export are in Caduvo.

What changed for E0791

Frequently asked questions

What is HCPCS code E0791?

E0791 is the HCPCS Level II code for parenteral infusion pump, stationary, single or multi-channel. Short descriptor: "Parenteral infusion pump sta".

How much does Medicare pay for E0791?

Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $282.07–$427.07. Rural fees can be higher.

Does Medicare cover E0791?

Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.

Which diagnoses support coverage for E0791?

Medicare policy articles that cite E0791 list 460 covered ICD-10-CM diagnosis codes across 1 article. The most cited include C91.00 (Acute lymphoblastic leukemia not having achieved remission), C91.01 (Acute lymphoblastic leukemia, in remission), C91.02 (Acute lymphoblastic leukemia, in relapse). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.

Did the Medicare fee for E0791 change in 2026?

The average non-rural state fee for RR moved from $358.48 in 2025 to $367.97 in 2026 (+2.6%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of E0791 can be billed per day?

1 on DME suppliers (NCCI medically unlikely edits).

Related E07 codes

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

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.

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