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See a sample rate comparisonHCPCS E0203 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.
Therapeutic lightbox, minimum 10, 000 lux, table top model
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Heat, Cold, and Light Therapies |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for E0203 |
National average reimbursement for HCPCS E0203 by major payers:
$234.86
$222.36
$202.10
$357.25
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HCPCS E0203
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See a sample payer proposalHCPCS E0203 vs. Other Heat, Cold, and Light Therapies Codes
The HCPCS E0203 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 E0203 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 |
|---|---|---|
| E0202-HCPCS | Low | Phototherapy (bilirubin) light with photometer |
| E0203-HCPCS | Moderate | Therapeutic lightbox, minimum 10, 000 lux, table top model |
| E0205-HCPCS | Low | Heat lamp, with stand, includes bulb, or infrared element |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0203. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0203 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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