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See a sample rate comparisonHealthcare 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.
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Wound Therapy Pumps |
| Complexity Level | High |
| Medicaid Fee Schedule | View Medicaid rates for E2402 |
National average reimbursement for HCPCS E2402 by major payers:

$1,530.05

$985.98

$1,248.87

$10,045.15
Choose a payer to see a sample of rates for HCPCS E2402.
Gwinnett Obgyn Associates Of Georgia LLC
Union County Hospital Authority
Miguel A Arenas Md PC
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Rate Benchmarking
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonPayer Contract Negotiation
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS E2402 vs. Other Wound Therapy Pumps Codes
The HCPCS E2402 code is part of the Durable Medical Equipment services used for Wound Therapy Pumps. 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 E2402 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 |
|---|---|---|
| E2398-HCPCS | Low | Wheelchair accessory, dynamic positioning hardware for back |
| E2402-HCPCS | High | Negative pressure wound therapy electrical pump, stationary or portable |
| E2500-HCPCS | Moderate | Speech generating device, digitized speech, using pre-recorded messages, less than or equal to 8 minutes recording time |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E2402. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E2402 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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