E1905 HCPCS code: Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software
E1905 is the HCPCS Level II code for virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software. The 2026 Medicare DMEPOS fee schedule pays $674.77 (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, 4 suppliers billed Medicare for E1905 (rentals), serving 22 beneficiaries.
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 | 2023-04-01 |
| Last action effective | 2023-10-01 |
2026 Medicare DMEPOS fee schedule for E1905
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $674.77 | $674.77 | $674.77 | $573.55 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $674.77 | — |
| AL | RR | $674.77 | — |
| AR | RR | $674.77 | — |
| AZ | RR | $674.77 | — |
| CA | RR | $674.77 | — |
| CO | RR | $674.77 | — |
| CT | RR | $674.77 | — |
| DC | RR | $674.77 | — |
| DE | RR | $674.77 | — |
| FL | RR | $674.77 | — |
| GA | RR | $674.77 | — |
| HI | RR | $674.77 | — |
| IA | RR | $674.77 | — |
| ID | RR | $674.77 | — |
| IL | RR | $674.77 | — |
| IN | RR | $674.77 | — |
| KS | RR | $674.77 | — |
| KY | RR | $674.77 | — |
| LA | RR | $674.77 | — |
| MA | RR | $674.77 | — |
| MD | RR | $674.77 | — |
| ME | RR | $674.77 | — |
| MI | RR | $674.77 | — |
| MN | RR | $674.77 | — |
| MO | RR | $674.77 | — |
| MS | RR | $674.77 | — |
| MT | RR | $674.77 | — |
| NC | RR | $674.77 | — |
| ND | RR | $674.77 | — |
| NE | RR | $674.77 | — |
| NH | RR | $674.77 | — |
| NJ | RR | $674.77 | — |
| NM | RR | $674.77 | — |
| NV | RR | $674.77 | — |
| NY | RR | $674.77 | — |
| OH | RR | $674.77 | — |
| OK | RR | $674.77 | — |
| OR | RR | $674.77 | — |
| PA | RR | $674.77 | — |
| PR | RR | $674.77 | — |
| RI | RR | $674.77 | — |
| SC | RR | $674.77 | — |
| SD | RR | $674.77 | — |
| TN | RR | $674.77 | — |
| TX | RR | $674.77 | — |
| UT | RR | $674.77 | — |
| VA | RR | $674.77 | — |
| VI | RR | $674.77 | — |
| VT | RR | $674.77 | — |
| WA | RR | $674.77 | — |
| WI | RR | $674.77 | — |
| WV | RR | $674.77 | — |
| WY | RR | $674.77 | — |
How the E1905 fee compares
| Measure | Value |
|---|---|
| Rank among 1 E19 codes billed RR (lowest = 1) | 1 |
| Family fee range (average of state fees) | $674.77–$674.77 |
| Rural fee uplift | — |
Who bills E1905 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 4 |
| Suppliers billing purchases | — |
| Referring clinicians | 9 |
| Medicare beneficiaries | 22 |
| States with claims | 1 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E1905, 2024–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2024 | 36 | 22 | $646.04 | $506.49 |
States with the most E1905 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 22 | $506.49 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Nature of Equipment |
| outpatient hospital claims | 1 | Nature of Equipment |
| practitioner claims | 1 | Nature of Equipment |
What changed for E1905
- 2026-01-01: Average state fee (RR) rose 2.0%: $661.54 to $674.77
- 2023-04-01: E1905 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 E1905?
E1905 is the HCPCS Level II code for virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software. Short descriptor: "Vr cbt therapy".
How much does Medicare pay for E1905?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $674.77. Rural fees can be higher.
Does Medicare cover E1905?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E1905 change in 2026?
The average non-rural state fee for RR moved from $661.54 in 2025 to $674.77 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E1905 can be billed per day?
1 on DME suppliers; 1 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
Related E19 codes
- E1902 — Communication board, non-electronic augmentative or alternative communication device
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 E1905
- Watch E1905 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E1905
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.