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E0185

E0185Gel or gel-like pressure pad for mattress, standard mattress length and width

HCPCSActiveBETOS D1E

E0185 is a HCPCS Level II code for gel or gel-like pressure pad for mattress, standard mattress length and width. It belongs to the Durable Medical Equipment section. Whether Medicare pays it depends on the coverage rule below.

Medicare coverage: Special coverage instructions apply

There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.

From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.

Medically Unlikely Edits — units per day

The most units of E0185 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.

practitioner
0 — never payable
MAI 3 — Date of Service Edit: Clinical · CMS Policy
outpatient
0 — never payable
MAI 3 — Date of Service Edit: Clinical · CMS Policy
DME supplier
1 unit
MAI 2 — Date of Service Edit: Policy · Code Descriptor / CPT Instruction

The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.

The CMS record for E0185

Long descriptor
Gel or gel-like pressure pad for mattress, standard mattress length and width

The official wording. This is what the code means.

Short descriptor
Gel pressure mattress pad

CMS's 28-character form, which is what shows up on a remittance advice.

Added
January 1, 1986

When CMS introduced the code.

BETOS
D1E

Berenson-Eggers Type of Service — CMS's own analytic grouping.

Pricing indicator
32 — DMEPOS

Inexpensive and routinely purchased DME. Price subject to floors and ceilings.

Codes adjacent to E0185

HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If E0185 is not quite right, the correct code is very often within a few positions of it.

  • E0170Commode chair with integrated seat lift mechanism, electric, any type
  • E0171Commode chair with integrated seat lift mechanism, non-electric, any type
  • E0172Seat lift mechanism placed over or on top of toilet, any type
  • E0175Foot rest, for use with commode chair, each
  • E0181Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty
  • E0182Pump for alternating pressure pad, for replacement only
  • E0183Powered pressure reducing underlay/pad, alternating, with pump, includes heavy duty
  • E0184Dry pressure mattress
  • E0186Air pressure mattress
  • E0187Water pressure mattress
  • E0188Synthetic sheepskin pad
  • E0189Lambswool sheepskin pad, any size
  • E0190Positioning cushion/pillow/wedge, any shape or size, includes all components and accessories
  • E0191Heel or elbow protector, each
  • E0193Powered air flotation bed (low air loss therapy)
  • E0194Air fluidized bed

Questions about E0185

What is HCPCS code E0185?

E0185 is a HCPCS Level II code for gel or gel-like pressure pad for mattress, standard mattress length and width. It sits in the Durable Medical Equipment section.

Does Medicare cover E0185?

The CMS HCPCS file marks E0185 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.

HCPCS Level II2026Q3-Jul· effective July 1, 2026