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See a sample rate comparisonHCPCS E0218 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.
Fluid circulating cold pad with pump, any type
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Heat, Cold, and Light Therapies |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for E0218 |
National average reimbursement for HCPCS E0218 by major payers:
$259.43
$216.22
$232.15
$368.74
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HCPCS E0218
5 of 25 sample ratesHigher to lower in this preview
Anthony Lau
North Shore-Lij Medical PC
$245.86Published rateRonald Troxell
Florida Hospital Physician Group Inc
$194.60Published rateJonathan Selbst
Florida Foot Ankle Care LLC
$142.25Published rateHoward Levene
Alegent Creighton Clinic
$32.77Published rateMichael Garvin
Adnan Shariff, Inc
$20.25Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E0218 vs. Other Heat, Cold, and Light Therapies Codes
The HCPCS E0218 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 E0218 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 |
|---|---|---|
| E0217-HCPCS | Moderate | Water circulating heat pad with pump |
| E0218-HCPCS | Moderate | Fluid circulating cold pad with pump, any type |
| E0221-HCPCS | High | Infrared heating pad system |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0218. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0218 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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