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See a sample rate comparisonHCPCS E0202 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Phototherapy (bilirubin) light with photometer
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Heat, Cold, and Light Therapies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for E0202 |
National average reimbursement for HCPCS E0202 by major payers:
$81.74
$54.18
$139.44
$909.80
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HCPCS E0202
5 of 25 sample ratesHigher to lower in this preview
Bridgette Cross
$83.27Published rateSandra Larisch
Choa Multispecialty LLC
$49.45Published rateKathy Morse
Pediatric Associates
$37.09Published rateMary Buck
The Center For Digestive & Liver Health, LLC
$35.54Published rateCandace Roman
Care Medical Center LLC
$24.72Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E0202 vs. Other Heat, Cold, and Light Therapies Codes
The HCPCS E0202 code is part of the Durable Medical Equipment services used for Heat, Cold, and Light Therapies. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS E0202 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| E0200-HCPCS | Low | Heat lamp, without stand (table model), includes bulb, or infrared element |
| E0202-HCPCS | Low | Phototherapy (bilirubin) light with photometer |
| E0203-HCPCS | Moderate | Therapeutic lightbox, minimum 10, 000 lux, table top model |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0202. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0202 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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