HCPCS E0607 Fee Schedule
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.
| Key Fact | Detail |
|---|---|
| Service Type | • Durable Medical Equipment • Monitoring Equipment |
| Common Place of Service | |
| Common Modifiers | |
| Complexity Level | Moderate |
National average reimbursement for HCPCS E0607 by major payers:
$55.19
$51.81
$53.32
$112.46
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
Select a payer to view fee schedule data Choose a payer from the options above to see rates for HCPCS E0607 | ||||||
United | E0607 | $35.88 | 1811438468 - ALL PRO MEDICAL SUPPLIES, INC | 20685558 - (NY) ALL PRO MEDICAL SUPPLIES INC | NY | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0607 | $26.90 | 1346247079 - FUTURE SURGICAL SUPPLIES INC | 133253772 - (NY) FUTURE SURGICAL SUPPLIES INC | NY | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0607 | $35.88 | 1083654503 - LIBERTY ORTHOTICS, INC. | 113453198 - (NY) LIBERTY ORTHOTICS INC | NY | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0607 | $43.65 | 1710170188 - PROSTHETIC & ORTHOTIC ASSOCIATES, INC., M&M PROSTHETICS | 201417954 | NY | Prosthetic/Orthotic Supplier (335E00000X) |
United | E0607 | $36.93 | 1013085349 - SAMPSON'S PROSTHETIC LABORATORY, INC, HANGER CLINIC | 141569482 - (NY) SAMPSON'S PROSTHETIC LABORATORY, INC. | NY | Prosthetic/Orthotic Supplier (335E00000X) |
United | E0607 | $59.09 | 1750417499 - ZEMM MEDICAL, LLC | 300050175 - (NY) ZEMM MEDICAL LLC | NY | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0607 | $5.80 | 1720082399 - CAPRO SOLUTIONS, LLC, CAPITAL ORTHOTIC PROSTHETIC ASSOC | 201417954 | NY | Prosthetic/Orthotic Supplier (335E00000X) |
United | E0607 | $193.21 | 1427185057 - MONTEFIORE MEDICAL CENTER, MONTEFIORE COMMUNITY PHARMACY @ MOSES | 131740114 - MONTEFIORE MEDICAL CENTER | NY | Community/Retail Pharmacy (3336C0003X) |
United | E0607 | $45.11 | 1003929050 - FIRST COMMUNITY CARE OF BASSETT, LLC | 161504464 - (NY) FIRST COMMUNITY CARE OF BASSETT, LLC | NY | Oxygen Equipment & Supplies (DME) (332BX2000X) |
United | E0607 | $33.22 | 1982032553 - ESCHEN PROSTHETIC AND ORTHOTIC LABORATORIES, INC. | 132707948 - ESCHEN PROSTHETIC & ORTHOTIC LAB | NY | Prosthetic/Orthotic Supplier (335E00000X) |
United | E0607 | $4.65 | 1700185956 - DME CONSULTING AGENCY LLC, KINNEY HOMECARE EQUIPMENT AND SUPPLIES | 273626955 - (NY) DME CONSULTING AGENCY LLC | NY | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0607 | $4.65 | 1619590940 - PRO2 LLC | 161611306 - (NY) PRO 2 LLC | NY | Oxygen Equipment & Supplies (DME) (332BX2000X) |
United | E0607 | $5.03 | 1811438468 - ALL PRO MEDICAL SUPPLIES, INC | 883346305 | NY | Durable Medical Equipment & Medical Supplies (332B00000X) |
United | E0607 | $71.76 | 1629177381 - PROSTHETICS BY NELSON, NELSON PROSTHETIC AND ORTHOTIC LABORATORY | 161197703 - (NY) NELSON PROSTHETIC & ORTHOTIC LABORATORY | NY | Prosthetic/Orthotic Supplier (335E00000X) |
United | E0607 | $35.88 | 1619903044 - TMR ORTHOTIC & PROSTHETIC SERVICES INC. | 112605156 - (NY) TMR ORTHOTIC PROSTHETIC SERVICES INC | NY | Prosthetic/Orthotic Supplier (335E00000X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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HCPCS E0607 vs. Other Monitoring Equipment Codes
The HCPCS E0607 code is part of the Durable Medical Equipment services used for Monitoring Equipment. 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 E0607 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.
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0607. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0607 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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