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HCPCS E0201 · Level II · DME code

E0201: Penile contracture device, manual, greater than 3 lbs traction force, HCPCS Level II DME code

Compiled from CMS files by the QuickIntell RCM Editorial Team · Data effective · Method: reference methodology · Report a data correction

Data currency: HCPCS Level II file: October 2026 (effective October 1, 2026); DMEPOS fee schedule: DME26-D (October 2026) (effective October 1, 2026); NCCI MUE tables: 2026 Q4 (effective October 1, 2026); NCCI PTP edits: v323r0 (2026 Q4) (effective October 1, 2026); OPPS Addendum B: October 2026 (effective October 1, 2026). Next CMS release: January 1, 2027 (quarterly update).

Key facts for E0201

Medicare payment
$146.52
DMEPOS non-rural state fees (NU)
Coverage code
C
carrier judgment, so the Medicare contractor decides coverage
Practitioner MUE
1
MAI 2
OPPS status
SI A
Services not paid under OPPS; paid under fee schedule or other payment system
NCCI PTP pairs
0
practitioner file
LCDs and articles
0 / 0

TL;DR

E0201 is a Level II code from the E section (durable medical equipment), in use since 2025: "Penile contracture device, manual, greater than 3 lbs traction force". DMEPOS fees for E0201, a IN (inexpensive and other routinely purchased items) item, run NU (purchased, new) $146.52 in every contiguous state (floor $124.54, ceiling $146.52); RR (rental) $14.65 in every contiguous state (floor $12.45, ceiling $14.65); UE (purchased, used) $109.89 in every contiguous state (floor $93.41, ceiling $109.89) in the October 2026 file. Its 2026 Q4 MUEs per date of service: practitioner 1 (MAI 2, Anatomic Consideration); hospital outpatient 1 (MAI 2, Anatomic Consideration). No current LCD or billing article lists E0201; its HCPCS coverage code is C (carrier judgment, so the Medicare contractor decides coverage). OPPS status indicator A: Services not paid under OPPS; paid under fee schedule or other payment system. HCPCS record: BETOS D1E (other DME); pricing indicator 32; type of service A (used DME), P (lump-sum purchase of DME, prosthetics or orthotics), R (rental of DME). Nearby codes: E0188, E0185, E0217, E0184.

E0201 descriptor and code status

The October 2026 HCPCS Level II file describes E0201 as “Penile contracture device, manual, greater than 3 lbs traction force”. It sits in the E section (durable medical equipment), listed with the other E codes.

HCPCS file attributes of E0201
FieldValue
Short descriptorPenile contractur devic manu
Added to HCPCS2025-04-01
Last actionN (no maintenance), effective 2025-04-01
Coverage codeC: carrier judgment, so the Medicare contractor decides coverage
Pricing indicator32: DMEPOS inexpensive and routinely purchased DME (floors and ceilings)
BETOS categoryD1E: other DME
Type of serviceA: used DME; P: lump-sum purchase of DME, prosthetics or orthotics; R: rental of DME

Medicare payment for E0201

DMEPOS fees for E0201, a IN (inexpensive and other routinely purchased items) item, run NU (purchased, new) $146.52 in every contiguous state (floor $124.54, ceiling $146.52); RR (rental) $14.65 in every contiguous state (floor $12.45, ceiling $14.65); UE (purchased, used) $109.89 in every contiguous state (floor $93.41, ceiling $109.89) in the October 2026 file. The amounts below are national figures from the October 2026 CMS files; the contractor applies the locality, rural or state adjustment and the beneficiary's cost sharing.

DMEPOS fee schedule (DME26-D)

Jurisdiction D (DME MAC), payment category IN (inexpensive and other routinely purchased items). Fees are set per state; AK, HI, PR and VI are not subject to the national ceiling and floor and are listed separately. A rural fee applies only in ZIP codes on the CMS rural ZIP list.

DMEPOS fees for E0201 by modifier
ModifierFloor / ceilingNon-rural state rangeRural rangeAK / HI / PR / VI
NU (purchased, new)$124.54 / $146.52$146.52 (49 states)—AK $146.52, HI $146.52, PR $146.52, VI $146.52
RR (rental)$12.45 / $14.65$14.65 (49 states)—AK $14.65, HI $14.65, PR $14.65, VI $14.65
UE (purchased, used)$93.41 / $109.89$109.89 (49 states)—AK $109.89, HI $109.89, PR $109.89, VI $109.89

Hospital outpatient (OPPS Addendum B)

Status indicator A (Services not paid under OPPS; paid under fee schedule or other payment system), with no separate OPPS payment rate.

Medically Unlikely Edits for E0201

Its 2026 Q4 MUEs per date of service: practitioner 1 (MAI 2, Anatomic Consideration); hospital outpatient 1 (MAI 2, Anatomic Consideration). The practitioner MUE is a date-of-service policy edit: units above the limit deny even when split across lines, and appeals rarely succeed.

MUE values for E0201 by setting
SettingMUE (units/DOS)MAICMS rationale
Practitioner services12 Date of Service Edit: PolicyAnatomic Consideration
Facility outpatient hospital12 Date of Service Edit: PolicyAnatomic Consideration

The MUE lookup for E0201 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

No active practitioner PTP pair lists E0201 in v323r0.

E0201 is neither an add-on code nor a designated primary code in the 2026 Q4 NCCI add-on edit file.

Pair counts show exposure, not the answer for one claim. Check E0201 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for E0201

No current LCD or billing and coding article lists E0201. The HCPCS coverage code C means carrier judgment, so the Medicare contractor decides coverage, and any National Coverage Determination for the service still applies.

Denials to expect on E0201

CARC 50 · N115

the service is not reasonable and necessary for the diagnosis on the claim

CARC 151 · N362

units of E0201 exceed the practitioner MUE of 1 per date of service

CARC 4

the NU, RR, UE payment modifier is missing or does not match the item

CARC 16

the claim lacks information needed to adjudicate the line, such as an order, NPI or required modifier

Where QuickIntell fits for E0201 claims

QuickAuth coordinates the requirement checks and documentation that DME claims for E0201 depend on, with human review of each case, and QuickRCM carries claim readiness and the CARC 50, 151 and modifier denials these items draw.

See QuickAuth for requirement checksSee QuickRCM for denial follow-upBook a meeting

Frequently asked questions: HCPCS E0201

What does HCPCS code E0201 describe?

"Penile contracture device, manual, greater than 3 lbs traction force" (short descriptor "Penile contractur devic manu"), in the E section (durable medical equipment). Added 2025-04-01.

Is E0201 a CPT code?

No. E0201 is a CMS HCPCS Level II code; CPT codes are the AMA's five-character set.

What does Medicare pay for E0201?

DMEPOS fees for E0201, a IN (inexpensive and other routinely purchased items) item, run NU (purchased, new) $146.52 in every contiguous state (floor $124.54, ceiling $146.52); RR (rental) $14.65 in every contiguous state (floor $12.45, ceiling $14.65); UE (purchased, used) $109.89 in every contiguous state (floor $93.41, ceiling $109.89) in the October 2026 file.

How many units of E0201 can be billed per day?

Its 2026 Q4 MUEs per date of service: practitioner 1 (MAI 2, Anatomic Consideration); hospital outpatient 1 (MAI 2, Anatomic Consideration). For the practitioner MUE (MAI 2), units above 1 deny for the whole day as a policy limit; denials arrive as CARC 151.

Does Medicare cover E0201?

No current LCD or billing article lists E0201; its HCPCS coverage code is C (carrier judgment, so the Medicare contractor decides coverage).

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-10. Verify against the primary file before billing or contracting decisions. The reference methodology explains how each figure is computed from these files.

Disclaimer

This page is an operational reference compiled from CMS publications: the HCPCS Level II file, the physician, DMEPOS and clinical laboratory fee schedules, OPPS and ASC addenda, NCCI MUE, PTP and add-on edit tables and the Medicare Coverage Database. Amounts are Medicare national figures before locality and state adjustment; Medicaid and commercial payers set their own. CPT codes are shown as numbers only; CPT descriptors are copyright AMA. Nothing here is legal, clinical or billing advice.

Found a figure that does not match the CMS file? Report a data correction with the CMS file and the value you expected; the request reaches the editorial team through the contact form.