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See a sample rate comparisonHCPCS E0235 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.
Paraffin bath unit, portable (see medical supply code A4265 for paraffin)
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Heat, Cold, and Light Therapies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for E0235 |
National average reimbursement for HCPCS E0235 by major payers:
$153.80
$107.99
$133.74
$280.77
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HCPCS E0235
5 of 25 sample ratesHigher to lower in this preview
Grady Memorial Hospital Corporation, Grady Health Systems
Emory University
$249.36Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Grady Memorial Hospital Corporation
$101.13Published rateThe Medical Center Inc, Piedmont Columbus Regional Midtown
The Medical Center Inc
$93.62Published ratePalmyra Park Hospital, Inc., Palmyra Medical Centers
$78.37Published rateMarc Stiefel
Pinnacle Ent Alliance, LLC
$10.87Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E0235 vs. Other Heat, Cold, and Light Therapies Codes
The HCPCS E0235 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 E0235 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 |
|---|---|---|
| E0232-HCPCS | Low | Warming card for use with the non contact wound warming device and non contact wound warming wound cover |
| E0235-HCPCS | Low | Paraffin bath unit, portable (see medical supply code A4265 for paraffin) |
| E0236-HCPCS | Moderate | Pump for water circulating pad |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0235. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0235 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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