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HCPCS E2402 · Level II · DME code

E2402: Negative pressure wound therapy electrical pump, stationary or portable, 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 E2402

Medicare payment
$748.28 to $881.94
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 Y
Non-implantable DME
NCCI PTP pairs
0
practitioner file
LCDs and articles
1 / 0

TL;DR

E2402 is a Level II code from the E section (durable medical equipment), in use since 2004: "Negative pressure wound therapy electrical pump, stationary or portable". E2402 is paid from the DMEPOS fee schedule as capped rental items (CR): RR (rental) $748.28 in CT, MA, ME and 3 more to $881.94 in AL, AR, FL and 9 more, rural $1,504.41, October 2026. MUE limits for E2402: 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 E2402: L33821 (Negative Pressure Wound Therapy Pumps). OPPS status indicator Y: Non-implantable DME. HCPCS record: BETOS D1E (other DME); pricing indicator 36; type of service R (rental of DME). Nearby codes: E2361, E2298, E2510, E2601.

E2402 descriptor and code status

The October 2026 HCPCS Level II file describes E2402 as “Negative pressure wound therapy electrical pump, stationary or portable”. It sits in the E section (durable medical equipment), listed with the other E codes. Although searches often call it the "E2402 CPT code", E2402 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 E2402
FieldValue
Short descriptorNeg press wound therapy pump
Added to HCPCS2004-01-01
Last actionN (no maintenance), effective 2004-01-01
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 E2402

E2402 is paid from the DMEPOS fee schedule as capped rental items (CR): RR (rental) $748.28 in CT, MA, ME and 3 more to $881.94 in AL, AR, FL and 9 more, rural $1,504.41, 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 E2402 by modifier
ModifierFloor / ceilingNon-rural state rangeRural rangeAK / HI / PR / VI
RR (rental)—$748.28 (CT, MA, ME…) to $881.94 (AL, AR, FL…)$1,504.41 (49 states)AK $1,517.02, HI $1,517.02, PR $1,727.82, VI $1,517.02

Hospital outpatient (OPPS Addendum B)

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

Medically Unlikely Edits for E2402

MUE limits for E2402: 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 E2402 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 E2402 shows every setting next to any other code on the same claim.

NCCI edits and add-on rules

No active practitioner PTP pair lists E2402 in v323r0.

E2402 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 E2402 against a second code to see whether the pair bundles and whether a modifier can separate the services.

Medicare coverage policies for E2402

1 active Local Coverage Determination and 0 billing and coding articles list E2402. 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 E2402

CARC 50 · N115

the diagnosis or documentation does not meet the LCD or billing article that lists E2402

CARC 151 · N362

units of E2402 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 E2402 claims

QuickAuth coordinates the requirement checks and documentation that DME claims for E2402 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 E2402

What does HCPCS code E2402 describe?

"Negative pressure wound therapy electrical pump, stationary or portable" (short descriptor "Neg press wound therapy pump"), in the E section (durable medical equipment). Added 2004-01-01.

Is E2402 a CPT code?

No: CMS maintains E2402 in HCPCS Level II, while the AMA maintains CPT. People do search "E2402 CPT code", and it goes in the same procedure-code field.

What does Medicare pay for E2402?

E2402 is paid from the DMEPOS fee schedule as capped rental items (CR): RR (rental) $748.28 in CT, MA, ME and 3 more to $881.94 in AL, AR, FL and 9 more, rural $1,504.41, October 2026.

How many units of E2402 can be billed per day?

MUE limits for E2402: 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 E2402?

Coverage code C (carrier judgment, so the Medicare contractor decides coverage). 1 active LCD lists E2402: L33821 (Negative Pressure Wound Therapy Pumps).

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.