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HCPCS E1905 · Level II · DME code

E1905: Virtual reality cognitive behavioral therapy device (cbt), 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 E1905

Medicare payment
$674.77
DMEPOS non-rural state fees (RR)
Coverage code
C
carrier judgment, so the Medicare contractor decides coverage
DME supplier MUE
1
MAI 3
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

E1905 is a Level II code from the E section (durable medical equipment), in use since 2023: "Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software". The October 2026 DMEPOS fee schedule (category CR, capped rental items) sets E1905 at RR (rental) $674.77 in every contiguous state (floor $573.55, ceiling $674.77). CMS caps E1905 at practitioner 1 (MAI 3, Nature of Equipment); hospital outpatient 1 (MAI 3, Nature of Equipment); DME supplier 1 (MAI 3, Nature of Equipment) units per day in the 2026 Q4 MUE tables. No current LCD or billing article lists E1905; 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 36; type of service R (rental of DME). Nearby codes: E1810, E2001, E2103, E2104.

E1905 descriptor and code status

The October 2026 HCPCS Level II file describes E1905 as “Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software”. It sits in the E section (durable medical equipment), listed with the other E codes.

HCPCS file attributes of E1905
FieldValue
Short descriptorVr cbt therapy
Added to HCPCS2023-04-01
Last actionN (no maintenance), effective 2023-10-01
Coverage codeC: carrier judgment, so the Medicare contractor decides coverage
Pricing indicator36: DMEPOS capped rental DME (floors and ceilings)
BETOS categoryD1E: other DME
Type of serviceR: rental of DME

Medicare payment for E1905

The October 2026 DMEPOS fee schedule (category CR, capped rental items) sets E1905 at RR (rental) $674.77 in every contiguous state (floor $573.55, ceiling $674.77). 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 E1905 by modifier
ModifierFloor / ceilingNon-rural state rangeRural rangeAK / HI / PR / VI
RR (rental)$573.55 / $674.77$674.77 (49 states)—AK $674.77, HI $674.77, PR $674.77, VI $674.77

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 E1905

CMS caps E1905 at practitioner 1 (MAI 3, Nature of Equipment); hospital outpatient 1 (MAI 3, Nature of Equipment); DME supplier 1 (MAI 3, Nature of Equipment) units per day in the 2026 Q4 MUE tables. 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 E1905 by setting
SettingMUE (units/DOS)MAICMS rationale
Practitioner services13 Date of Service Edit: ClinicalNature of Equipment
Facility outpatient hospital13 Date of Service Edit: ClinicalNature of Equipment
DME supplier13 Date of Service Edit: ClinicalNature of Equipment

The MUE lookup for E1905 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

No active practitioner PTP pair lists E1905 in v323r0.

E1905 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 E1905 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for E1905

No current LCD or billing and coding article lists E1905. 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 E1905

CARC 50 · N115

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

CARC 151 · N362

units of E1905 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 E1905 claims

QuickAuth coordinates the requirement checks and documentation that DME claims for E1905 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 E1905

What does HCPCS code E1905 describe?

"Virtual reality cognitive behavioral therapy device (cbt), including pre-programmed therapy software" (short descriptor "Vr cbt therapy"), in the E section (durable medical equipment). Added 2023-04-01; last action N (no maintenance) effective 2023-10-01.

Is E1905 a CPT code?

It is not. E1905 belongs to the E section (durable medical equipment) of HCPCS Level II, the CMS code set, not to AMA CPT.

What does Medicare pay for E1905?

The October 2026 DMEPOS fee schedule (category CR, capped rental items) sets E1905 at RR (rental) $674.77 in every contiguous state (floor $573.55, ceiling $674.77).

How many units of E1905 can be billed per day?

CMS caps E1905 at practitioner 1 (MAI 3, Nature of Equipment); hospital outpatient 1 (MAI 3, Nature of Equipment); DME supplier 1 (MAI 3, Nature of Equipment) units per day in the 2026 Q4 MUE tables. 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 E1905?

No current LCD or billing article lists E1905; 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.