E0616 — Implantable cardiac event recorder with memory, activator and programmer
E0616 is a HCPCS Level II code for implantable cardiac event recorder with memory, activator and programmer. It belongs to the Durable Medical Equipment section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Carrier judgment
Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.
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 E0616 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
- 1 unit MAI 2 — Date of Service Edit: Policy · Code Descriptor / CPT Instruction
- outpatient
- 1 unit MAI 2 — Date of Service Edit: Policy · Code Descriptor / CPT Instruction
- DME supplier
- 1 unit MAI 3 — Date of Service Edit: Clinical · CMS Policy
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 E0616
- Long descriptor
- Implantable cardiac event recorder with memory, activator and programmer
- Short descriptor
- Cardiac event recorder
- Added
- January 1, 2000
- BETOS
- D1E
- Pricing indicator
- 00 — Not priced by Part B
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Service not separately priced by Part B — not covered, bundled into another service, or used by Part A only.
Codes adjacent to E0616
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If E0616 is not quite right, the correct code is very often within a few positions of it.
- E0602Breast pump, manual, any type
- E0603Breast pump, electric (ac and/or dc), any type
- E0604Breast pump, hospital grade, electric (ac and / or dc), any type
- E0605Vaporizer, room type
- E0606Postural drainage board
- E0607Home blood glucose monitor
- E0610Pacemaker monitor, self-contained, (checks battery depletion, includes audible and visible check systems)
- E0615Pacemaker monitor, self contained, checks battery depletion and other pacemaker components, includes digital/visible check systems
- E0617External defibrillator with integrated electrocardiogram analysis
- E0618Apnea monitor, without recording feature
- E0619Apnea monitor, with recording feature
- E0620Skin piercing device for collection of capillary blood, laser, each
- E0621Sling or seat, patient lift, canvas or nylon
- E0625Patient lift, bathroom or toilet, not otherwise classified
- E0627Seat lift mechanism, electric, any type
- E0628Separate seat lift mechanism for use with patient owned furniture-electricterminated
Questions about E0616
What is HCPCS code E0616?
E0616 is a HCPCS Level II code for implantable cardiac event recorder with memory, activator and programmer. It sits in the Durable Medical Equipment section.
Does Medicare cover E0616?
The CMS HCPCS file marks E0616 as "Carrier judgment". Coverage is decided by your Medicare contractor, not by national policy. Whether this is paid depends on the LCD for your jurisdiction and on what the documentation supports.