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See a sample rate comparisonHCPCS E0236 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.
Pump for water circulating pad
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Heat, Cold, and Light Therapies |
| Complexity Level | Moderate |
| Medicaid Fee Schedule | View Medicaid rates for E0236 |
National average reimbursement for HCPCS E0236 by major payers:
$387.58
$276.99
$289.65
$610.61
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HCPCS E0236
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$1,135.68Published rateMeriwether Healthcare, L.L.C., Warm Springs Medical Center
Meriwether Healthcare, LLC D/B/A Warm Springs Medical Center
$259.54Published rateEmory Healthcare
$195.10Published rateTift Regional Health System, Inc., Southwell Medical
Tift Regional Health System Inc
$37.22Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Grady Memorial Hospital Corporation
$23.34Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E0236 vs. Other Heat, Cold, and Light Therapies Codes
The HCPCS E0236 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 E0236 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 |
|---|---|---|
| E0235-HCPCS | Low | Paraffin bath unit, portable (see medical supply code A4265 for paraffin) |
| E0236-HCPCS | Moderate | Pump for water circulating pad |
| E0239-HCPCS | Moderate | Hydrocollator unit, portable |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0236. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0236 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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