E2103 HCPCS code: Non-adjunctive, non-implanted continuous glucose monitor or receiver
E2103 is the HCPCS Level II code for non-adjunctive, non-implanted continuous glucose monitor or receiver. The 2026 Medicare DMEPOS fee schedule pays $256.09 to $301.27 (NU, new equipment, purchased) 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. Medicare volume rose 14% from 2023 to 2024 (260,776 to 297,173 services). In 2024, 7,452 suppliers billed Medicare for E2103 (purchases), serving 295,252 beneficiaries; Texas, California, Florida accounted for 18% of services. Its average fee ranks 4 of 5 E21 codes billed NU (family range $54.52–$866.28).
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 32 — DMEPOS: inexpensive or routinely purchased item |
| BETOS category | D1E — Other durable medical equipment |
| Added | 2023-01-01 |
| Last action effective | 2023-01-01 |
2026 Medicare DMEPOS fee schedule for E2103
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $256.09 | $301.27 | $301.27 | $256.08 |
| NU | new equipment, purchased | $284.30 | $334.44 | $334.44 | $284.27 |
| RR | rental (monthly) | $25.61 | $30.13 | $30.13 | $25.61 |
| RR | rental (monthly) | $28.43 | $33.44 | $33.44 | $28.42 |
| UE | used equipment, purchased | $192.08 | $225.95 | $225.95 | $192.06 |
| UE | used equipment, purchased | $213.24 | $250.83 | $250.83 | $213.21 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $334.44 | — |
| AL | NU | $307.05 | — |
| AR | NU | $331.38 | — |
| AZ | NU | $334.44 | — |
| CA | NU | $334.44 | — |
| CO | NU | $314.81 | — |
| CT | NU | $314.49 | — |
| DC | NU | $308.52 | — |
| DE | NU | $308.04 | — |
| FL | NU | $334.44 | — |
| GA | NU | $315.21 | — |
| HI | NU | $334.44 | — |
| IA | NU | $334.44 | — |
| ID | NU | $324.32 | — |
| IL | NU | $334.44 | — |
| IN | NU | $284.30 | — |
| KS | NU | $334.44 | — |
| KY | NU | $334.44 | — |
| LA | NU | $334.44 | — |
| MA | NU | $306.44 | — |
| MD | NU | $312.68 | — |
| ME | NU | $306.44 | — |
| MI | NU | $334.44 | — |
| MN | NU | $309.17 | — |
| MO | NU | $334.44 | — |
| MS | NU | $334.44 | — |
| MT | NU | $306.61 | — |
| NC | NU | $317.73 | — |
| ND | NU | $334.44 | — |
| NE | NU | $334.44 | — |
| NH | NU | $306.44 | — |
| NJ | NU | $310.28 | — |
| NM | NU | $334.44 | — |
| NV | NU | $334.44 | — |
| NY | NU | $334.44 | — |
| OH | NU | $334.44 | — |
| OK | NU | $334.44 | — |
| OR | NU | $306.89 | — |
| PA | NU | $301.13 | — |
| PR | NU | $334.44 | — |
| RI | NU | $325.22 | — |
| SC | NU | $334.44 | — |
| SD | NU | $334.44 | — |
| TN | NU | $334.44 | — |
| TX | NU | $334.44 | — |
| UT | NU | $334.44 | — |
| VA | NU | $311.94 | — |
| VI | NU | $334.44 | — |
| VT | NU | $306.44 | — |
| WA | NU | $334.44 | — |
| WI | NU | $303.68 | — |
| WV | NU | $334.44 | — |
| WY | NU | $328.59 | — |
| AK | RR | $33.44 | — |
| AL | RR | $30.70 | — |
| AR | RR | $33.12 | — |
| AZ | RR | $33.44 | — |
| CA | RR | $33.44 | — |
| CO | RR | $31.48 | — |
| CT | RR | $31.45 | — |
| DC | RR | $30.86 | — |
| DE | RR | $30.80 | — |
| FL | RR | $33.44 | — |
| GA | RR | $31.51 | — |
| HI | RR | $33.44 | — |
| IA | RR | $33.44 | — |
| ID | RR | $32.44 | — |
| IL | RR | $33.44 | — |
| IN | RR | $28.43 | — |
| KS | RR | $33.44 | — |
| KY | RR | $33.44 | — |
| LA | RR | $33.44 | — |
| MA | RR | $30.64 | — |
| MD | RR | $31.27 | — |
| ME | RR | $30.64 | — |
| MI | RR | $33.44 | — |
| MN | RR | $30.92 | — |
| MO | RR | $33.44 | — |
| MS | RR | $33.44 | — |
| MT | RR | $30.65 | — |
| NC | RR | $31.76 | — |
| ND | RR | $33.44 | — |
| NE | RR | $33.44 | — |
| NH | RR | $30.64 | — |
| NJ | RR | $31.03 | — |
| NM | RR | $33.44 | — |
| NV | RR | $33.44 | — |
| NY | RR | $33.44 | — |
| OH | RR | $33.44 | — |
| OK | RR | $33.44 | — |
| OR | RR | $30.67 | — |
| PA | RR | $30.11 | — |
| PR | RR | $33.44 | — |
| RI | RR | $32.54 | — |
| SC | RR | $33.44 | — |
| SD | RR | $33.44 | — |
| TN | RR | $33.44 | — |
| TX | RR | $33.44 | — |
| UT | RR | $33.44 | — |
| VA | RR | $31.20 | — |
| VI | RR | $33.44 | — |
| VT | RR | $30.64 | — |
| WA | RR | $33.44 | — |
| WI | RR | $30.37 | — |
| WV | RR | $33.44 | — |
| WY | RR | $32.86 | — |
| AK | UE | $250.83 | — |
| AL | UE | $230.29 | — |
| AR | UE | $248.54 | — |
| AZ | UE | $250.83 | — |
| CA | UE | $250.83 | — |
| CO | UE | $236.12 | — |
| CT | UE | $235.83 | — |
| DC | UE | $231.40 | — |
| DE | UE | $231.03 | — |
| FL | UE | $250.83 | — |
| GA | UE | $236.43 | — |
| HI | UE | $250.83 | — |
| IA | UE | $250.83 | — |
| ID | UE | $243.25 | — |
| IL | UE | $250.83 | — |
| IN | UE | $213.24 | — |
| KS | UE | $250.83 | — |
| KY | UE | $250.83 | — |
| LA | UE | $250.83 | — |
| MA | UE | $229.82 | — |
| MD | UE | $234.53 | — |
| ME | UE | $229.82 | — |
| MI | UE | $250.83 | — |
| MN | UE | $231.90 | — |
| MO | UE | $250.83 | — |
| MS | UE | $250.83 | — |
| MT | UE | $229.94 | — |
| NC | UE | $238.30 | — |
| ND | UE | $250.83 | — |
| NE | UE | $250.83 | — |
| NH | UE | $229.82 | — |
| NJ | UE | $232.70 | — |
| NM | UE | $250.83 | — |
| NV | UE | $250.83 | — |
| NY | UE | $250.83 | — |
| OH | UE | $250.83 | — |
| OK | UE | $250.83 | — |
| OR | UE | $230.17 | — |
| PA | UE | $225.86 | — |
| PR | UE | $250.83 | — |
| RI | UE | $243.91 | — |
| SC | UE | $250.83 | — |
| SD | UE | $250.83 | — |
| TN | UE | $250.83 | — |
| TX | UE | $250.83 | — |
| UT | UE | $250.83 | — |
| VA | UE | $233.96 | — |
| VI | UE | $250.83 | — |
| VT | UE | $229.82 | — |
| WA | UE | $250.83 | — |
| WI | UE | $227.77 | — |
| WV | UE | $250.83 | — |
| WY | UE | $246.44 | — |
How the E2103 fee compares
| Measure | Value |
|---|---|
| Rank among 5 E21 codes billed NU (lowest = 1) | 4 |
| Family fee range (average of state fees) | $54.52–$866.28 |
| Rural fee uplift | — |
Who bills E2103 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 21 |
| Suppliers billing purchases | 7,452 |
| Referring clinicians | 72,534 |
| Medicare beneficiaries | 295,252 |
| States with claims | 54 |
| Share of services in top 3 states (Texas, California, Florida) | 18% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2023 | 8,186 | 256,166 |
| 2024 | 7,452 | 295,252 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E2103, 2023–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2023 | 260,776 | 256,166 | $273.19 | $208.16 |
| 2024 | 297,173 | 295,252 | $283.12 | $216.56 |
States with the most E2103 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Texas | 19,694 | $224.55 |
| California | 18,335 | $215.39 |
| Florida | 15,702 | $223.12 |
| Illinois | 15,694 | $224.64 |
| New York | 15,256 | $218.86 |
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 |
Medicare policy articles for this code
- A52464: Glucose Monitor - 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
Covered diagnoses (495 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 495. The full list, non-covered diagnoses and CSV export are in Caduvo.
What changed for E2103
- 2026-01-01: Average state fee (NU) rose 2.0%: $301.79 to $307.83
- 2026-01-01: Average state fee (RR) rose 2.0%: $30.18 to $30.78
- 2026-01-01: Average state fee (UE) rose 2.0%: $226.34 to $230.87
- 2023-01-01: E2103 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 E2103?
E2103 is the HCPCS Level II code for non-adjunctive, non-implanted continuous glucose monitor or receiver. Short descriptor: "Non-adju cgm receiver/mon".
How much does Medicare pay for E2103?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $256.09–$301.27; NU (new equipment, purchased): $284.30–$334.44; RR (rental (monthly)): $25.61–$30.13; RR (rental (monthly)): $28.43–$33.44; UE (used equipment, purchased): $192.08–$225.95; UE (used equipment, purchased): $213.24–$250.83. Rural fees can be higher.
Does Medicare cover E2103?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Which diagnoses support coverage for E2103?
Medicare policy articles that cite E2103 list 495 covered ICD-10-CM diagnosis codes across 2 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.
Did the Medicare fee for E2103 change in 2026?
The average non-rural state fee for NU moved from $301.79 in 2025 to $307.83 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E2103 can be billed per day?
1 on DME suppliers; 1 on outpatient hospital claims; 1 on practitioner claims (NCCI medically unlikely edits).
Related E21 codes
- E2100 — Blood glucose monitor with integrated voice synthesizer ($76.49–$1,084.76)
- E2101 — Blood glucose monitor with integrated lancing/blood sample ($26.88–$322.42)
- E2102 — Adjunctive, non-implanted continuous glucose monitor or receiver ($18.92–$239.22)
- E2104 — Home blood glucose monitor for use with integrated lancing/blood sample testing cartridge ($5.47–$54.52)
- E2120 — Pulse generator system for tympanic treatment of inner ear endolymphatic fluid ($404.05–$484.90)
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 E2103
- Watch E2103 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E2103
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.