E1399 HCPCS code: Durable medical equipment, miscellaneous
E1399 is the HCPCS Level II code for durable medical equipment, miscellaneous. In 2024 Medicare paid an average of $227.89 per service for E1399 across 32,222 services. 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 practitioner claims. Medicare volume rose 87% from 2022 to 2024 (17,247 to 32,222 services). In 2024, 1,845 suppliers billed Medicare for E1399 (purchases), serving 11,033 beneficiaries; North Carolina, Texas, California accounted for 32% of services.
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 46 — Priced by the Medicare contractor (no national fee) |
| BETOS category | D1E — Other durable medical equipment |
| Added | 1986-01-01 |
| Last action effective | 1996-01-01 |
Who bills E1399 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 817 |
| Suppliers billing purchases | 1,845 |
| Referring clinicians | 6,834 |
| Medicare beneficiaries | 11,033 |
| States with claims | 50 |
| Share of services in top 3 states (North Carolina, Texas, California) | 32% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 1,252 | 5,930 |
| 2023 | 1,625 | 7,798 |
| 2024 | 1,845 | 11,033 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E1399, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 17,247 | 5,930 | $144.56 | $112.31 |
| 2023 | 25,518 | 7,798 | $129.15 | $99.20 |
| 2024 | 32,222 | 11,033 | $294.32 | $227.89 |
States with the most E1399 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| North Carolina | 5,443 | $188.72 |
| Texas | 2,399 | $209.95 |
| California | 2,284 | $298.84 |
| Georgia | 1,888 | $235.47 |
| Florida | 1,530 | $244.77 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| practitioner claims | 1 | Clinical: CMS Workgroup |
Medicare policy articles for this code
- A52459: Canes and Crutches - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52464: Glucose Monitor - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52467: Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52489: Pressure Reducing Support Surfaces - Group 1 - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52490: Pressure Reducing Support Surfaces - Group 2 - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52492: Tracheostomy Care Supplies - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52502: Heating Pads and Heat Lamps - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52503: Walkers - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52504: Wheelchair Options/Accessories - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52507: External Infusion Pumps - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52508: Hospital Beds And Accessories - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
- A52517: Respiratory Assist Devices - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance
Covered diagnoses (558 ICD-10-CM codes)
The diagnoses most often listed as covered in the policy articles above:
| ICD-10-CM | Diagnosis | Articles listing it |
|---|---|---|
| E08.00 | Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC) | 2 |
| E08.01 | Diabetes mellitus due to underlying condition with hyperosmolarity with coma | 2 |
| E08.10 | Diabetes mellitus due to underlying condition with ketoacidosis without coma | 2 |
| E08.11 | Diabetes mellitus due to underlying condition with ketoacidosis with coma | 2 |
| E08.21 | Diabetes mellitus due to underlying condition with diabetic nephropathy | 2 |
| E08.22 | Diabetes mellitus due to underlying condition with diabetic chronic kidney disease | 2 |
| E08.29 | Diabetes mellitus due to underlying condition with other diabetic kidney complication | 2 |
| E08.311 | Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy with macular edema | 2 |
| E08.319 | Diabetes mellitus due to underlying condition with unspecified diabetic retinopathy without macular edema | 2 |
| E08.3211 | Diabetes mellitus due to underlying condition with mild nonproliferative diabetic retinopathy with macular edema, right eye | 2 |
Showing 10 of 558. The full list, non-covered diagnoses and CSV export are in Caduvo.
What changed for E1399
- 1986-01-01: E1399 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 E1399?
E1399 is the HCPCS Level II code for durable medical equipment, miscellaneous. Short descriptor: "Durable medical equipment mi".
How much does Medicare pay for E1399?
In 2024, the average Medicare payment was $227.89 per service (average allowed $294.32).
Does Medicare cover E1399?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Which diagnoses support coverage for E1399?
Medicare policy articles that cite E1399 list 558 covered ICD-10-CM diagnosis codes across 12 articles. The most cited include E08.00 (Diabetes mellitus due to underlying condition with hyperosmolarity without nonketotic hyperglycemic-hyperosmolar coma (NKHHC)), E08.01 (Diabetes mellitus due to underlying condition with hyperosmolarity with coma), E08.10 (Diabetes mellitus due to underlying condition with ketoacidosis without coma). A listed diagnosis is necessary but not sufficient; the policy's other criteria still apply.
How many units of E1399 can be billed per day?
1 on practitioner claims (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
- 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)
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 E1399
- Watch E1399 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E1399
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; 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.