E1353 HCPCS code: Regulator
E1353 is the HCPCS Level II code for regulator. The 2026 Medicare DMEPOS fee schedule pays $40.36 to $48.46 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.
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 00 — Not separately priced by Medicare |
| BETOS category | D1C — Oxygen and supplies |
| Added | 1986-01-01 |
| Last action effective | 2009-01-01 |
2026 Medicare DMEPOS fee schedule for E1353
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| — | base fee | $40.36 | $48.46 | $40.36 | $34.31 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | — | $40.36 | — |
| AL | — | $40.36 | — |
| AR | — | $40.36 | — |
| AZ | — | $40.36 | — |
| CA | — | $40.36 | — |
| CO | — | $40.36 | — |
| CT | — | $40.36 | — |
| DC | — | $40.36 | — |
| DE | — | $40.36 | — |
| FL | — | $40.36 | — |
| GA | — | $40.36 | — |
| HI | — | $40.36 | — |
| IA | — | $40.36 | — |
| ID | — | $40.36 | — |
| IL | — | $40.36 | — |
| IN | — | $40.36 | — |
| KS | — | $40.36 | — |
| KY | — | $40.36 | — |
| LA | — | $40.36 | — |
| MA | — | $40.36 | — |
| MD | — | $40.36 | — |
| ME | — | $40.36 | — |
| MI | — | $40.36 | — |
| MN | — | $40.36 | — |
| MO | — | $40.36 | — |
| MS | — | $40.36 | — |
| MT | — | $40.36 | — |
| NC | — | $40.36 | — |
| ND | — | $40.36 | — |
| NE | — | $40.36 | — |
| NH | — | $40.36 | — |
| NJ | — | $40.36 | — |
| NM | — | $40.36 | — |
| NV | — | $40.36 | — |
| NY | — | $40.36 | — |
| OH | — | $40.36 | — |
| OK | — | $40.36 | — |
| OR | — | $40.36 | — |
| PA | — | $40.36 | — |
| PR | — | $48.46 | — |
| RI | — | $40.36 | — |
| SC | — | $40.36 | — |
| SD | — | $40.36 | — |
| TN | — | $40.36 | — |
| TX | — | $40.36 | — |
| UT | — | $40.36 | — |
| VA | — | $40.36 | — |
| VI | — | $40.36 | — |
| VT | — | $40.36 | — |
| WA | — | $40.36 | — |
| WI | — | $40.36 | — |
| WV | — | $40.36 | — |
| WY | — | $40.36 | — |
How the E1353 fee compares
| Measure | Value |
|---|---|
| Rank among 2 E13 codes (lowest = 1) | 2 |
| Family fee range (average of state fees) | $30.53–$40.51 |
| Rural fee uplift | — |
Medicare policy articles for this code
- A52514: Oxygen and Oxygen Equipment - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
What changed for E1353
- 2026-01-01: Average state fee rose 2.0%: $39.72 to $40.51
- 1986-01-01: E1353 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 E1353?
E1353 is the HCPCS Level II code for regulator. Short descriptor: "Oxygen supplies regulator".
How much does Medicare pay for E1353?
Under the 2026 DMEPOS fee schedule, non-rural state fees are base (base fee): $40.36–$48.46. Rural fees can be higher.
Does Medicare cover E1353?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for E1353 change in 2026?
The average non-rural state fee moved from $39.72 in 2025 to $40.51 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
Related E13 codes
- E1300 — Whirlpool, portable (overtub type)
- E1301 — Whirlpool tub, walk-in, portable
- E1310 — Whirlpool, non-portable (built-in type) ($222.47–$3,627.06)
- E1352 — Oxygen accessory, flow regulator capable of positive inspiratory pressure
- E1354 — Oxygen accessory, wheeled cart for portable cylinder or portable concentrator, any type, replacement only, each
- E1355 — Stand/rack ($30.42–$36.51)
- E1356 — Oxygen accessory, battery pack/cartridge for portable concentrator, any type, replacement only, each
- E1357 — Oxygen accessory, battery charger for portable concentrator, any type, replacement only, each
- E1358 — Oxygen accessory, dc power adapter for portable concentrator, any type, replacement only, each
- E1372 — Immersion external heater for nebulizer ($13.66–$208.94)
- E1390 — Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate ($94.56–$177.16)
- E1391 — Oxygen concentrator, dual delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate, each ($94.56–$177.16)
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Next steps
- Run a reimbursement report for a device billed under E1353
- Watch E1353 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E1353
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.