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See a sample rate comparisonHCPCS E1310 Fee Schedule
Last Verified: September 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.
Whirlpool, non-portable (built-in type)
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Whirlpool Baths |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for E1310 |
National average reimbursement for HCPCS E1310 by major payers:
$1,719.04
$1,520.61
$1,460.75
$3,050.46
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HCPCS E1310
5 of 25 sample ratesHigher to lower in this preview
Grady Memorial Hospital Corporation, Grady Health Systems
Emory University
$5,065.49Published rateArthur M. Blank Hospital, Inc., Arthur M. Blank Hospital
Childrens Healthcare Of Atlanta Inc
$1,995.78Published rateHospital Authority Of Ben Hill, Dorminy Medical Center
$1,395.81Published rateEmory Healthcare
Emory University
$368.25Published rateNgmc Barrow LLC, Ngmc Barrow
Gainesville Radiology Group
$108.81Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS E1310 vs. Other Whirlpool Baths Codes
The HCPCS E1310 code is part of the Durable Medical Equipment services used for Whirlpool Baths. 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 E1310 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 |
|---|---|---|
| E1300-HCPCS | Moderate | Whirlpool, portable (overtub type) |
| E1310-HCPCS | High | Whirlpool, non-portable (built-in type) |
| E1352-HCPCS | Low | Oxygen accessory, flow regulator capable of positive inspiratory pressure |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E1310. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E1310 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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