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HCPCS E0731 · Level II · DME code

E0731: Conductive garment for TENS/, 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 E0731

Medicare payment
$87.58 to $114.47
DMEPOS non-rural state fees (NU)
Coverage code
D
special coverage instructions apply
DME supplier MUE
1
MAI 3
OPPS status
SI Y
Non-implantable DME
NCCI PTP pairs
0
practitioner file
LCDs and articles
2 / 0

TL;DR

E0731 is a Level II code from the E section (durable medical equipment), in use since 1989: "Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric)". E0731 is paid from the DMEPOS fee schedule as inexpensive and other routinely purchased items (IN): NU (purchased, new) $87.58 in CO, ID, MT and 2 more to $114.47 in AL, AR, FL and 9 more, rural $273.27 to $311.40, October 2026. MUE limits for E0731: practitioner 0 (MAI 3, CMS Policy); hospital outpatient 0 (MAI 3, CMS Policy); DME supplier 1 (MAI 3, Nature of Equipment). 2 active LCDs list E0731: L33802 (Transcutaneous Electrical Nerve Stimulators (TENS)), L34821 (Transcutaneous Electrical Joint Stimulation Devices (TEJSD)). OPPS status indicator Y: Non-implantable DME. HCPCS record: BETOS D1E (other DME); pricing indicator 34; type of service A (used DME), P (lump-sum purchase of DME, prosthetics or orthotics), R (rental of DME). Nearby codes: E0730, E0738, E0739, E0720.

E0731 descriptor and code status

The October 2026 HCPCS Level II file describes E0731 as “Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric)”. It sits in the E section (durable medical equipment), listed with the other E codes. Although searches often call it the "E0731 CPT code", E0731 is a HCPCS Level II code maintained by CMS, not an AMA CPT code; both go in the same procedure-code field on the claim.

HCPCS file attributes of E0731
FieldValue
Short descriptorConductive garment for tens/
Added to HCPCS1989-01-01
Last actionN (no maintenance), effective 1996-01-01
Coverage codeD: special coverage instructions apply
Pricing indicator34: DMEPOS DME supplies (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 E0731

E0731 is paid from the DMEPOS fee schedule as inexpensive and other routinely purchased items (IN): NU (purchased, new) $87.58 in CO, ID, MT and 2 more to $114.47 in AL, AR, FL and 9 more, rural $273.27 to $311.40, 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 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 E0731 by modifier
ModifierFloor / ceilingNon-rural state rangeRural rangeAK / HI / PR / VI
NU (purchased, new)—$87.58 (CO, ID, MT…) to $114.47 (AL, AR, FL…)$273.27 (CT, IA, IL…) to $311.40 (AL, AR, AZ…)AK $453.53, HI $480.99, PR $322.63, VI $273.27

Hospital outpatient (OPPS Addendum B)

Status indicator Y (Non-implantable DME), with no separate OPPS payment rate.

Medically Unlikely Edits for E0731

MUE limits for E0731: practitioner 0 (MAI 3, CMS Policy); hospital outpatient 0 (MAI 3, CMS Policy); DME supplier 1 (MAI 3, Nature of Equipment). The DME supplier MUE is a date-of-service clinical edit: units above the limit deny but can be paid on appeal with documentation.

MUE values for E0731 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 supplier13 Date of Service Edit: ClinicalNature of Equipment

The MUE lookup for E0731 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

No active practitioner PTP pair lists E0731 in v323r0.

E0731 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 E0731 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for E0731

2 active Local Coverage Determinations and 0 billing and coding articles list E0731. 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 E0731

CARC 50 · N115

the diagnosis or documentation does not meet the LCD or billing article that lists E0731

CARC 151 · N362

units of E0731 exceed the DME supplier MUE of 1 per date of service

CARC 4

the NU 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 E0731 claims

QuickAuth coordinates the requirement checks and documentation that DME claims for E0731 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 E0731

What does HCPCS code E0731 describe?

"Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric)" (short descriptor "Conductive garment for tens/"), in the E section (durable medical equipment). Added 1989-01-01; last action N (no maintenance) effective 1996-01-01.

Is E0731 a CPT code?

No: CMS maintains E0731 in HCPCS Level II, while the AMA maintains CPT. People do search "E0731 CPT code", and it goes in the same procedure-code field.

What does Medicare pay for E0731?

E0731 is paid from the DMEPOS fee schedule as inexpensive and other routinely purchased items (IN): NU (purchased, new) $87.58 in CO, ID, MT and 2 more to $114.47 in AL, AR, FL and 9 more, rural $273.27 to $311.40, October 2026.

How many units of E0731 can be billed per day?

MUE limits for E0731: practitioner 0 (MAI 3, CMS Policy); hospital outpatient 0 (MAI 3, CMS Policy); DME supplier 1 (MAI 3, Nature of Equipment). For the DME supplier MUE (MAI 3), units above 1 deny for the day but can be paid on appeal with documentation; denials arrive as CARC 151.

Does Medicare cover E0731?

Coverage code D (special coverage instructions apply). 2 active LCDs list E0731: L33802 (Transcutaneous Electrical Nerve Stimulators (TENS)), L34821 (Transcutaneous Electrical Joint Stimulation Devices (TEJSD)).

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.