E0786 HCPCS Level II code: Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter)
E0786 is the HCPCS code for “Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter)” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
E0786Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter)
Short description: Implantable pump replacement
HCPCS · United States
Medicare details
The indicators CMS publishes with E0786 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Special coverage instructions apply
- Medicare pricing
- DMEPOS fee schedule – Inexpensive & routinely purchased DME (price subject to floors and ceilings)
- Type of service
- Other medical items or services
- BETOS category
- Other DME
- Added
- Jan 1, 2001
Where E0786 sits
- 1E codesDurable medical equipment
- 2Active code E0786Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter)
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code E0786 mean?
E0786 is the HCPCS code for “Implantable programmable infusion pump, replacement (excludes implantable intraspinal catheter)” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover E0786?
CMS lists E0786’s Medicare coverage as “Special coverage instructions apply” and its pricing as “DMEPOS fee schedule – Inexpensive & routinely purchased DME (price subject to floors and ceilings)”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside E0786
All E codesE0780Ambulatory infusion pump, mechanical, reusable, for infusion less than 8 hoursE0781Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patientE0782Infusion pump, implantable, non-programmable (includes all components, e.g., pump, catheter, connectors, etc.)E0783Infusion pump system, implantable, programmable (includes all components, e.g., pump, catheter, connectors, etc.)E0784External ambulatory infusion pump, insulinE0785Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump, replacementE0787External ambulatory infusion pump, insulin, dosage rate adjustment using therapeutic continuous glucose sensingE0788Ambulatory infusion pump, specific device-drug combination, single or multiple channels, electric or battery operated, with administrative equipment, worn by patientE0791Parenteral infusion pump, stationary, single or multi-channelE0830Ambulatory traction device, all types, eachE0840Traction frame, attached to headboard, cervical tractionE0849Traction equipment, cervical, free-standing stand/frame, pneumatic, applying traction force to other than mandible