E1372 HCPCS code: Immersion external heater for nebulizer
E1372 is the HCPCS Level II code for immersion external heater for nebulizer. The 2026 Medicare DMEPOS fee schedule pays $136.61 to $208.94 (NU, new equipment, purchased) 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.
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 32 — DMEPOS: inexpensive or routinely purchased item |
| BETOS category | D1E — Other durable medical equipment |
| Added | 1986-01-01 |
| Last action effective | 1996-01-01 |
2026 Medicare DMEPOS fee schedule for E1372
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $136.61 | $208.94 | — | — |
| RR | rental (monthly) | $13.66 | $44.05 | — | — |
| UE | used equipment, purchased | $102.46 | $156.71 | — | — |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $177.23 | — |
| AL | NU | $163.04 | $183.24 |
| AR | NU | $163.04 | $200.66 |
| AZ | NU | $136.61 | $183.24 |
| CA | NU | $141.69 | $183.24 |
| CO | NU | $160.93 | $200.66 |
| CT | NU | $155.35 | $200.66 |
| DC | NU | $149.01 | $200.66 |
| DE | NU | $149.01 | $200.66 |
| FL | NU | $163.04 | $183.24 |
| GA | NU | $163.04 | $183.24 |
| HI | NU | $183.65 | — |
| IA | NU | $139.81 | $190.30 |
| ID | NU | $160.93 | $200.66 |
| IL | NU | $168.99 | $200.66 |
| IN | NU | $168.99 | $189.92 |
| KS | NU | $139.81 | $190.30 |
| KY | NU | $163.04 | $189.52 |
| LA | NU | $163.04 | $200.66 |
| MA | NU | $155.35 | $200.66 |
| MD | NU | $149.01 | $200.66 |
| ME | NU | $155.35 | $200.66 |
| MI | NU | $168.99 | $200.66 |
| MN | NU | $139.81 | $191.66 |
| MO | NU | $139.81 | $190.56 |
| MS | NU | $163.04 | $183.24 |
| MT | NU | $160.93 | $200.66 |
| NC | NU | $163.04 | $187.76 |
| ND | NU | $139.81 | $188.85 |
| NE | NU | $139.81 | $190.30 |
| NH | NU | $155.35 | $200.66 |
| NJ | NU | $149.01 | $200.66 |
| NM | NU | $136.61 | $190.09 |
| NV | NU | $141.69 | $183.24 |
| NY | NU | $149.01 | $200.66 |
| OH | NU | $168.99 | $183.24 |
| OK | NU | $136.61 | $190.09 |
| OR | NU | $141.69 | $200.66 |
| PA | NU | $149.01 | $200.66 |
| PR | NU | $208.94 | — |
| RI | NU | $155.35 | $200.66 |
| SC | NU | $163.04 | $183.24 |
| SD | NU | $139.81 | $188.85 |
| TN | NU | $163.04 | $199.15 |
| TX | NU | $136.61 | $200.66 |
| UT | NU | $160.93 | $200.66 |
| VA | NU | $163.04 | $200.66 |
| VI | NU | $200.66 | — |
| VT | NU | $155.35 | $200.66 |
| WA | NU | $141.69 | $200.66 |
| WI | NU | $168.99 | $200.66 |
| WV | NU | $163.04 | $183.24 |
| WY | NU | $160.93 | $188.85 |
| AK | RR | $41.76 | — |
| AL | RR | $16.30 | $22.80 |
| AR | RR | $16.30 | $25.33 |
| AZ | RR | $13.66 | $22.80 |
| CA | RR | $14.17 | $25.33 |
| CO | RR | $16.09 | $25.33 |
| CT | RR | $15.54 | $25.33 |
| DC | RR | $14.90 | $25.33 |
| DE | RR | $14.90 | $25.33 |
| FL | RR | $16.30 | $22.80 |
| GA | RR | $16.30 | $22.80 |
| HI | RR | $44.05 | — |
| IA | RR | $13.98 | $22.80 |
| ID | RR | $16.09 | $22.80 |
| IL | RR | $16.90 | $25.33 |
| IN | RR | $16.90 | $25.33 |
| KS | RR | $13.98 | $25.33 |
| KY | RR | $16.30 | $22.80 |
| LA | RR | $16.30 | $25.33 |
| MA | RR | $15.54 | $25.33 |
| MD | RR | $14.90 | $25.33 |
| ME | RR | $15.54 | $25.33 |
| MI | RR | $16.90 | $22.80 |
| MN | RR | $13.98 | $22.80 |
| MO | RR | $13.98 | $25.33 |
| MS | RR | $16.30 | $22.80 |
| MT | RR | $16.09 | $25.33 |
| NC | RR | $16.30 | $22.80 |
| ND | RR | $13.98 | $22.80 |
| NE | RR | $13.98 | $22.80 |
| NH | RR | $15.54 | $25.33 |
| NJ | RR | $14.90 | $25.33 |
| NM | RR | $13.66 | $22.80 |
| NV | RR | $14.17 | $22.80 |
| NY | RR | $14.90 | $22.80 |
| OH | RR | $16.90 | $22.80 |
| OK | RR | $13.66 | $22.80 |
| OR | RR | $14.17 | $22.80 |
| PA | RR | $14.90 | $25.33 |
| PR | RR | $24.02 | — |
| RI | RR | $15.54 | $25.33 |
| SC | RR | $16.30 | $22.80 |
| SD | RR | $13.98 | $22.80 |
| TN | RR | $16.30 | $22.80 |
| TX | RR | $13.66 | $25.33 |
| UT | RR | $16.09 | $25.33 |
| VA | RR | $16.30 | $25.33 |
| VI | RR | $22.80 | — |
| VT | RR | $15.54 | $25.33 |
| WA | RR | $14.17 | $25.33 |
| WI | RR | $16.90 | $25.33 |
| WV | RR | $16.30 | $22.80 |
| WY | RR | $16.09 | $22.80 |
| AK | UE | $132.92 | — |
| AL | UE | $122.28 | $136.47 |
| AR | UE | $122.28 | $149.36 |
| AZ | UE | $102.46 | $136.47 |
| CA | UE | $106.27 | $136.47 |
| CO | UE | $120.69 | $149.36 |
| CT | UE | $116.52 | $149.36 |
| DC | UE | $111.76 | $149.36 |
| DE | UE | $111.76 | $149.36 |
| FL | UE | $122.28 | $136.47 |
| GA | UE | $122.28 | $136.47 |
| HI | UE | $137.74 | — |
| IA | UE | $104.86 | $142.73 |
| ID | UE | $120.69 | $149.36 |
| IL | UE | $126.74 | $149.36 |
| IN | UE | $126.74 | $142.44 |
| KS | UE | $104.86 | $142.73 |
| KY | UE | $122.28 | $142.14 |
| LA | UE | $122.28 | $149.36 |
| MA | UE | $116.52 | $149.36 |
| MD | UE | $111.76 | $149.36 |
| ME | UE | $116.52 | $149.36 |
| MI | UE | $126.74 | $149.36 |
| MN | UE | $104.86 | $143.75 |
| MO | UE | $104.86 | $142.92 |
| MS | UE | $122.28 | $136.47 |
| MT | UE | $120.69 | $149.36 |
| NC | UE | $122.28 | $140.81 |
| ND | UE | $104.86 | $142.97 |
| NE | UE | $104.86 | $142.73 |
| NH | UE | $116.52 | $149.36 |
| NJ | UE | $111.76 | $136.47 |
| NM | UE | $102.46 | $142.58 |
| NV | UE | $106.27 | $136.47 |
| NY | UE | $111.76 | $149.36 |
| OH | UE | $126.74 | $136.47 |
| OK | UE | $102.46 | $142.58 |
| OR | UE | $106.27 | $149.36 |
| PA | UE | $111.76 | $149.36 |
| PR | UE | $156.71 | — |
| RI | UE | $116.52 | $149.36 |
| SC | UE | $122.28 | $136.47 |
| SD | UE | $104.86 | $141.63 |
| TN | UE | $122.28 | $149.36 |
| TX | UE | $102.46 | $149.36 |
| UT | UE | $120.69 | $149.36 |
| VA | UE | $122.28 | $149.36 |
| VI | UE | $149.36 | — |
| VT | UE | $116.52 | $149.36 |
| WA | UE | $106.27 | $149.36 |
| WI | UE | $126.74 | $149.36 |
| WV | UE | $122.28 | $136.47 |
| WY | UE | $120.69 | $141.63 |
How the E1372 fee compares
| Measure | Value |
|---|---|
| Rank among 2 E13 codes billed NU (lowest = 1) | 1 |
| Family fee range (average of state fees) | $156.50–$2,870.38 |
| Rural fee uplift | 24.1% |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Nature of Equipment |
What changed for E1372
- 2026-01-01: Average state fee (NU) rose 2.7%: $152.44 to $156.50
- 2026-01-01: Average state fee (RR) rose 2.6%: $16.27 to $16.70
- 2026-01-01: Average state fee (UE) rose 2.7%: $114.31 to $117.36
- 1986-01-01: E1372 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 E1372?
E1372 is the HCPCS Level II code for immersion external heater for nebulizer. Short descriptor: "Oxy suppl heater for nebuliz".
How much does Medicare pay for E1372?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $136.61–$208.94; RR (rental (monthly)): $13.66–$44.05; UE (used equipment, purchased): $102.46–$156.71. Rural fees can be higher.
Does Medicare cover E1372?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for E1372 change in 2026?
The average non-rural state fee for NU moved from $152.44 in 2025 to $156.50 in 2026 (+2.7%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E1372 can be billed per day?
1 on DME suppliers (NCCI medically unlikely edits).
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
- E1353 — Regulator ($40.36–$48.46)
- 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
- 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 E1372
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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.