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See a sample rate comparisonHCPCS E0372 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
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| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Hospital Beds and Associated Supplies |
| Complexity Level | High |
| Medicaid Fee Schedule | $3,532.45 median of the 2 states in the free preview · View Medicaid rates for E0372 |
National average reimbursement for HCPCS E0372 by major payers:
$1,738.34
$1,344.51
$170.63
$2,201.75
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HCPCS E0372
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$3,213.34Published rateChatuge Regional Hospital Inc
$1,437.05Published ratePhoebe Worth Medical Center, Inc, Phoebe Worth Medical Center, Inc
Phoebe Worth Medical Center Inc
$530.23Published ratePaulding Medical Center, Inc., Wellstar Paulding Hospital
Paulding Medical Center Inc
$340.02Published rateHospital Authority Of Candler County, Candler County Hospital
$123.25Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E0372 vs. Other Hospital Beds and Associated Supplies Codes
The HCPCS E0372 code is part of the Durable Medical Equipment services used for Hospital Beds and Associated Supplies. 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 E0372 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 |
|---|---|---|
| E0371-HCPCS | High | Nonpowered advanced pressure reducing overlay for mattress, standard mattress length and width |
| E0372-HCPCS | High | Powered air overlay for mattress, standard mattress length and width |
| E0373-HCPCS | High | Nonpowered advanced pressure reducing mattress |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0372. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0372 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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