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See a sample rate comparisonHCPCS E0225 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.
Hydrocollator unit, includes pads
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Heat, Cold, and Light Therapies |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for E0225 |
National average reimbursement for HCPCS E0225 by major payers:
$319.68
$271.26
$253.65
$637.69
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HCPCS E0225
5 of 25 sample ratesHigher to lower in this preview
Grady Memorial Hospital Corporation, Grady Health Systems
Emory University
$779.28Published rateScottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$259.72Published rateHospital Authority Of Valdosta And Lowndes County Georgia, South Georgia Medical Center
Hospital Authority Of Valdosta And Lowndes County Georgia
$203.17Published rateLeigh Taylor
$26.70Published ratePatrick Reidy
Florida Gulf Coast Ear, Nose And Throat, LLC
$19.54Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E0225 vs. Other Heat, Cold, and Light Therapies Codes
The HCPCS E0225 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 E0225 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 |
|---|---|---|
| E0221-HCPCS | High | Infrared heating pad system |
| E0225-HCPCS | Moderate | Hydrocollator unit, includes pads |
| E0231-HCPCS | Low | Non-contact wound warming device (temperature control unit, AC adapter and power cord) for use with warming card and wound cover |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0225. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0225 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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