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HCPCS E0640 · Level II · DME code

E0640: Patient lift, fixed system, includes all components/accessories, 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); Medicare Coverage Database LCD export: MCD release October 8, 2026 (effective October 4, 2026). Next CMS release: January 1, 2027 (quarterly update) for the HCPCS Level II file and DMEPOS fee schedule and NCCI MUE tables and NCCI PTP edits and OPPS Addendum B; weekly, every Thursday for the Medicare Coverage Database LCD export.

Key facts for E0640

Medicare payment
$135.13 to $158.98
DMEPOS non-rural state fees (RR)
Coverage code
C
carrier judgment, so the Medicare contractor decides coverage
DME supplier MUE
1
MAI 2
OPPS status
SI E1
Non-allowed item or service
NCCI PTP pairs
0
practitioner file
LCDs and articles
1 / 0

TL;DR

CMS describes HCPCS E0640, added in 2005, as "Patient lift, fixed system, includes all components/accessories". E0640 is paid from the DMEPOS fee schedule as capped rental items (CR): RR (rental) $135.13 in AL, DC, DE and 6 more to $158.98 in AR, AZ, CO and 22 more (floor $135.13, ceiling $158.98), October 2026. MUE limits for E0640: practitioner 0 (MAI 3, CMS Policy); hospital outpatient 0 (MAI 3, CMS Policy); DME supplier 1 (MAI 2, Code Descriptor / CPT Instruction). 1 active LCD lists E0640: L33799 (Patient Lifts). OPPS status indicator E1: Non-allowed item or service. HCPCS record: BETOS Y2 (other - non-Medicare fee schedule); pricing indicator 00; type of service 9 (other medical items or services). 4 other active codes open with "Patient lift"; related codes: E0635, E0630, E0639, E0625.

E0640 descriptor and code status

The October 2026 HCPCS Level II file describes E0640 as “Patient lift, fixed system, includes all components/accessories”. It sits in the E section (durable medical equipment), listed with the other E codes.

HCPCS file attributes of E0640
FieldValue
Short descriptorFixed patient lift system
Added to HCPCS2005-01-01
Last actionN (no maintenance), effective 2007-01-01
Coverage codeC: carrier judgment, so the Medicare contractor decides coverage
Pricing indicator00: not separately priced by Part B
BETOS categoryY2: other - non-Medicare fee schedule
Type of service9: other medical items or services

Medicare payment for E0640

E0640 is paid from the DMEPOS fee schedule as capped rental items (CR): RR (rental) $135.13 in AL, DC, DE and 6 more to $158.98 in AR, AZ, CO and 22 more (floor $135.13, ceiling $158.98), October 2026. 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 CR (capped rental 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 E0640 by modifier
ModifierFloor / ceilingNon-rural state rangeRural rangeAK / HI / PR / VI
RR (rental)$135.13 / $158.98$135.13 (AL, DC, DE…) to $158.98 (AR, AZ, CO…)—AK $158.91, HI $169.92, PR $218.07, VI $154.34

Hospital outpatient (OPPS Addendum B)

Status indicator E1 (Non-allowed item or service), with no separate OPPS payment rate.

Medically Unlikely Edits for E0640

MUE limits for E0640: practitioner 0 (MAI 3, CMS Policy); hospital outpatient 0 (MAI 3, CMS Policy); DME supplier 1 (MAI 2, Code Descriptor / CPT Instruction). The DME supplier 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 E0640 by setting
SettingMUE (units/DOS)MAICMS rationale
Practitioner services03 Date of Service Edit: ClinicalCMS Policy
Facility outpatient hospital03 Date of Service Edit: ClinicalCMS Policy
DME supplier12 Date of Service Edit: PolicyCode Descriptor / CPT Instruction

The MUE lookup for E0640 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

No active practitioner PTP pair lists E0640 in v323r0.

E0640 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 E0640 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for E0640

1 active Local Coverage Determination and 0 billing and coding articles list E0640. Each applies only in its contractor's jurisdiction, and the article carries the diagnosis codes that support the item or service.

Denials to expect on E0640

CARC 50 · N115

the diagnosis or documentation does not meet the LCD or billing article that lists E0640

CARC 151 · N362

units of E0640 exceed the DME supplier MUE of 1 per date of service

CARC 4

the RR 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 E0640 claims

QuickAuth coordinates the requirement checks and documentation that DME claims for E0640 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 E0640

What does HCPCS code E0640 describe?

"Patient lift, fixed system, includes all components/accessories" (short descriptor "Fixed patient lift system"), in the E section (durable medical equipment). Added 2005-01-01; last action N (no maintenance) effective 2007-01-01.

Is E0640 a CPT code?

No: CMS maintains E0640 in HCPCS Level II, while the AMA maintains CPT. It goes in the same procedure-code field.

What does Medicare pay for E0640?

E0640 is paid from the DMEPOS fee schedule as capped rental items (CR): RR (rental) $135.13 in AL, DC, DE and 6 more to $158.98 in AR, AZ, CO and 22 more (floor $135.13, ceiling $158.98), October 2026.

How many units of E0640 can be billed per day?

MUE limits for E0640: practitioner 0 (MAI 3, CMS Policy); hospital outpatient 0 (MAI 3, CMS Policy); DME supplier 1 (MAI 2, Code Descriptor / CPT Instruction). For the DME supplier MUE (MAI 2), units above 1 deny for the whole day as a policy limit; denials arrive as CARC 151.

Does Medicare cover E0640?

Coverage code C (carrier judgment, so the Medicare contractor decides coverage). 1 active LCD lists E0640: L33799 (Patient Lifts).

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.