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HCPCS E2103 · Level II · DME code

E2103: Non-adjunctive, non-implanted continuous glucose monitor or receiver, 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 E2103

Medicare payment
$256.09 to $301.27
DMEPOS non-rural state fees (NU)
Coverage code
C
carrier judgment, so the Medicare contractor decides coverage
DME supplier MUE
1
MAI 3
OPPS status
SI Y
Non-implantable DME
NCCI PTP pairs
0
practitioner file
LCDs and articles
1 / 0

TL;DR

E2103 is a Level II code from the E section (durable medical equipment), in use since 2023: "Non-adjunctive, non-implanted continuous glucose monitor or receiver". DMEPOS fees for E2103, a IN (inexpensive and other routinely purchased items) item, run NU (purchased, new) $256.09 in IN to $301.27 in AZ, CA, FL and 22 more (floor $256.08, ceiling $301.27); NU-KF (purchased, new) $284.30 in IN to $334.44 in AZ, CA, FL and 22 more (floor $284.27, ceiling $334.44); RR (rental) $25.61 in IN to $30.13 in AZ, CA, FL and 22 more (floor $25.61, ceiling $30.13) (3 more modifier rows on this page) in the October 2026 file. Its 2026 Q4 MUEs per date of service: practitioner 1 (MAI 3, Nature of Equipment); hospital outpatient 1 (MAI 3, Nature of Equipment); DME supplier 1 (MAI 3, Nature of Equipment). 1 active LCD lists E2103: L33822 (Glucose Monitors). OPPS status indicator Y: Non-implantable DME. 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: E2104, E2201, E2001, E2298.

E2103 descriptor and code status

The October 2026 HCPCS Level II file describes E2103 as “Non-adjunctive, non-implanted continuous glucose monitor or receiver”. It sits in the E section (durable medical equipment), listed with the other E codes. Although searches often call it the "E2103 CPT code", E2103 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 E2103
FieldValue
Short descriptorNon-adju cgm receiver/mon
Added to HCPCS2023-01-01
Last actionN (no maintenance), effective 2023-01-01
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 E2103

DMEPOS fees for E2103, a IN (inexpensive and other routinely purchased items) item, run NU (purchased, new) $256.09 in IN to $301.27 in AZ, CA, FL and 22 more (floor $256.08, ceiling $301.27); NU-KF (purchased, new) $284.30 in IN to $334.44 in AZ, CA, FL and 22 more (floor $284.27, ceiling $334.44); RR (rental) $25.61 in IN to $30.13 in AZ, CA, FL and 22 more (floor $25.61, ceiling $30.13) (3 more modifier rows on this page) 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 E2103 by modifier
ModifierFloor / ceilingNon-rural state rangeRural rangeAK / HI / PR / VI
NU (purchased, new)$256.08 / $301.27$256.09 (IN) to $301.27 (AZ, CA, FL…)—AK $301.27, HI $301.27, PR $301.27, VI $301.27
NU (purchased, new), KF (FDA class III device)$284.27 / $334.44$284.30 (IN) to $334.44 (AZ, CA, FL…)—AK $334.44, HI $334.44, PR $334.44, VI $334.44
RR (rental)$25.61 / $30.13$25.61 (IN) to $30.13 (AZ, CA, FL…)—AK $30.13, HI $30.13, PR $30.13, VI $30.13
RR (rental), KF (FDA class III device)$28.42 / $33.44$28.43 (IN) to $33.44 (AZ, CA, FL…)—AK $33.44, HI $33.44, PR $33.44, VI $33.44
UE (purchased, used)$192.06 / $225.95$192.08 (IN) to $225.95 (AZ, CA, FL…)—AK $225.95, HI $225.95, PR $225.95, VI $225.95
UE (purchased, used), KF (FDA class III device)$213.21 / $250.83$213.24 (IN) to $250.83 (AZ, CA, FL…)—AK $250.83, HI $250.83, PR $250.83, VI $250.83

Hospital outpatient (OPPS Addendum B)

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

Medically Unlikely Edits for E2103

Its 2026 Q4 MUEs per date of service: practitioner 1 (MAI 3, Nature of Equipment); hospital outpatient 1 (MAI 3, Nature of Equipment); 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 E2103 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 E2103 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

No active practitioner PTP pair lists E2103 in v323r0.

E2103 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 E2103 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for E2103

1 active Local Coverage Determination and 0 billing and coding articles list E2103. 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 E2103

CARC 50 · N115

the diagnosis or documentation does not meet the LCD or billing article that lists E2103

CARC 151 · N362

units of E2103 exceed the DME supplier MUE of 1 per date of service

CARC 4

the NU, KF, 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 E2103 claims

QuickAuth coordinates the requirement checks and documentation that DME claims for E2103 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 E2103

What does HCPCS code E2103 describe?

"Non-adjunctive, non-implanted continuous glucose monitor or receiver" (short descriptor "Non-adju cgm receiver/mon"), in the E section (durable medical equipment). Added 2023-01-01.

Is E2103 a CPT code?

No. E2103 is a CMS HCPCS Level II code; CPT codes are the AMA's five-character set. Searches for "E2103 CPT code" mean this Level II code.

What does Medicare pay for E2103?

DMEPOS fees for E2103, a IN (inexpensive and other routinely purchased items) item, run NU (purchased, new) $256.09 in IN to $301.27 in AZ, CA, FL and 22 more (floor $256.08, ceiling $301.27); NU-KF (purchased, new) $284.30 in IN to $334.44 in AZ, CA, FL and 22 more (floor $284.27, ceiling $334.44); RR (rental) $25.61 in IN to $30.13 in AZ, CA, FL and 22 more (floor $25.61, ceiling $30.13) (3 more modifier rows on this page) in the October 2026 file.

How many units of E2103 can be billed per day?

Its 2026 Q4 MUEs per date of service: practitioner 1 (MAI 3, Nature of Equipment); hospital outpatient 1 (MAI 3, Nature of Equipment); 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 E2103?

Coverage code C (carrier judgment, so the Medicare contractor decides coverage). 1 active LCD lists E2103: L33822 (Glucose Monitors).

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.