E1630 — Reciprocating peritoneal dialysis system
E1630 is a HCPCS Level II code for reciprocating peritoneal dialysis system. 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 E1630 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
- 0 — never payable 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 E1630
- Long descriptor
- Reciprocating peritoneal dialysis system
- Short descriptor
- Reciprocating peritoneal dia
- Added
- January 1, 1986
- BETOS
- P9B
- 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 E1630
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If E1630 is not quite right, the correct code is very often within a few positions of it.
- E1592Automatic intermittent peritoneal dialysis system
- E1594Cycler dialysis machine for peritoneal dialysis
- E1600Delivery and/or installation charges for hemodialysis equipment
- E1610Reverse osmosis water purification system, for hemodialysis
- E1615Deionizer water purification system, for hemodialysis
- E1620Blood pump for hemodialysis, replacement
- E1625Water softening system, for hemodialysis
- E1629Tablo hemodialysis system for the billable dialysis service
- E1632Wearable artificial kidney, each
- E1634Peritoneal dialysis clamps, each
- E1635Compact (portable) travel hemodialyzer system
- E1636Sorbent cartridges, for hemodialysis, per 10
- E1637Hemostats, each
- E1639Scale, each
- E1699Dialysis equipment, not otherwise specified
- E1700Jaw motion rehabilitation system
Questions about E1630
What is HCPCS code E1630?
E1630 is a HCPCS Level II code for reciprocating peritoneal dialysis system. It sits in the Durable Medical Equipment section.
Does Medicare cover E1630?
The CMS HCPCS file marks E1630 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.