HCPCS E0638 Fee Schedule

Last Verified: November 2025

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.

Standing frame/table system, one position (e.g., upright, supine or prone stander), any size including pediatric, with or without wheels

Key Fact	Detail
Service Type	• Durable Medical Equipment • Patient Lifts and Support Systems
Common Place of Service
Common Modifiers
Complexity Level	Moderate

National average reimbursement for HCPCS E0638 by major payers:

$980.51

$591.10

$420.37

$3,943.69

Preview provider-level rates for...

For billing codeHCPCS E0638

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 E0638
United	E0638	$1000.76	1255766531 - MARISSA LIVERIS	362925195 - ALLERGY & ASTHMA OF DUPAGE, S.C.	IL	Physician Assistant (363A00000X)
United	E0638	$853.57	1063741163 - AZTEC URGENT CARE, LLC	271495988 - (NM) AZTEC URGENT CARE LLC	NM	Urgent Care Clinic/Center (261QU0200X)
United	E0638	$95.59	1992789721 - PHOEBE PUTNEY MEMORIAL HOSPITAL INC, PHOEBE PUTNEY MEMORIAL HOSPTIAL	263792403 - PHOEBE PHYSICIAN GROUP INC	GA	General Acute Care Hospital (282N00000X)
United	E0638	$1441.07	1396923710 - EMORY UNIVERSITY HOSPITAL	582030692 - EMORY UNIVERSITY	GA	General Acute Care Hospital (282N00000X)
United	E0638	$554.82	1316938459 - NAVICENT HEALTH OCONEE, LLC, NAVICENT HEALTH BALDWIN	582359398 - NAVICENT HEALTH OCONEE LLC	GA	General Acute Care Hospital (282N00000X)
United	E0638	$384.10	1174512115 - MICHAEL GUILLETTE	271495988 - (NM) AZTEC URGENT CARE LLC	CO	Physician Assistant (363A00000X)
United	E0638	$512.14	1174512115 - MICHAEL GUILLETTE	271495988 - (NM) AZTEC URGENT CARE LLC	CO	Physician Assistant (363A00000X)
United	E0638	$51.22	1427189927 - DEVON DANEY	271495988 - (NM) AZTEC URGENT CARE LLC	CO	Family Medicine Physician (207Q00000X)
United	E0638	$853.57	1063741163 - AZTEC URGENT CARE, LLC	271495988 - (NM) AZTEC URGENT CARE LLC	NM	Urgent Care Clinic/Center (261QU0200X)
United	E0638	$85.36	1063741163 - AZTEC URGENT CARE, LLC	271495988 - (NM) AZTEC URGENT CARE LLC	NM	Urgent Care Clinic/Center (261QU0200X)
United	E0638	$512.14	1174512115 - MICHAEL GUILLETTE	271495988 - (NM) AZTEC URGENT CARE LLC	CO	Physician Assistant (363A00000X)
United	E0638	$512.14	1174512115 - MICHAEL GUILLETTE	271495988 - (NM) AZTEC URGENT CARE LLC	CO	Physician Assistant (363A00000X)
United	E0638	$51.22	1063490845 - KEVIN SCHLESSEL	311425166	OH	Rheumatology Physician (207RR0500X)
United	E0638	$384.10	1174512115 - MICHAEL GUILLETTE	271495988 - (NM) AZTEC URGENT CARE LLC	CO	Physician Assistant (363A00000X)
United	E0638	$55.47	1184771586 - LOWER OCONEE COMMUNITY HOSPITAL INC	208897263	GA	Critical Access Hospital (282NC0060X)
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 E0638 vs. Other Patient Lifts and Support Systems Codes

The HCPCS E0638 code is part of the Durable Medical Equipment services used for Patient Lifts and Support Systems. 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 E0638 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
E0637	High	Combination sit to stand frame/table system, any size including pediatric, with seat lift feature, with or without wheels
E0638	Moderate	Standing frame/table system, one position (e.g., upright, supine or prone stander), any size including pediatric, with or without wheels
E0639	Moderate	Patient lift, moveable from room to room with disassembly and reassembly, includes all components/accessories

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0638. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the E0638 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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