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E0735 Medicare Reimbursement Rate (2026)

Current CMS pricing and breakdown for Non-invasive vagus nerve stimulator.

HCPCS Code E0735

National Average Payment

Non-Facility (Private Office) Rate

$49.92
Effective Q2 2026

E0735 Reimbursement Rate History

QuarterQ1 2025Q2 2025Q3 2025Q4 2025Q1 2026Q2 2026
National Average Payment$48.95$48.95$48.95$48.95$49.92$49.92

⚠️ This is a National Estimate

Your actual reimbursement depends on your specific Zip Code and GPCI adjustments (e.g., New York vs. Texas).

Code Description

Non-invasive vagus nerve stimulator

Reimbursement Summary

CPT code E0735 (Non-invasive vagus nerve stimulator) had a 2026 Medicare non-facility reimbursement rate of $49.92. This reflects a 1.98% change from the prior year.

The 2026 National Medicare reimbursement estimate for E0735 is $49.92. Actual payment can vary by locality, setting, and claim specifics.

Description: Non-invasive vagus nerve stimulator. For locality-adjusted estimates, use MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool.

Note: amounts shown are estimates based on CMS national averages for Q2 2026.

E0735 Reimbursement Rate History

QuarterQ1 2025Q2 2025Q3 2025Q4 2025Q1 2026Q2 2026
National Average Payment$48.95$48.95$48.95$48.95$49.92$49.92

Historical Medicare Reimbursement

2025 Q12025 Q22025 Q32025 Q42026 Q12026 Q2
QuarterNon-Facility RateFacility RateYoY % Change (Non-Fac)YoY % Change (Fac)
2026 Q2$49.92$49.92+1.98%+1.98%
2026 Q1$49.92$49.92+1.98%+1.98%
2025 Q4$48.95$48.95
2025 Q3$48.95$48.95
2025 Q2$48.95$48.95
2025 Q1$48.95$48.95

Facility vs. Non-Facility (Office) Payment

Facility vs. non-facility pricing most commonly applies to physician services paid under the RVU-based Physician Fee Schedule. For E0735 (DMEPOS Equipment), the payment methodology may not include both facility and non-facility rates.

Q2 2026 Breakdown

ComponentOffice (Non-Fac)Facility (Hosp)
Work RVU
Practice Expense (PE)
Malpractice (MP)
Total RVUs0.000.00

Learn How This Reimbursement Is Calculated

Medicare reimbursement is determined by RVUs, geographic adjustments, and the annual conversion factor.

Frequently Asked Questions

What is the 2026 Medicare rate for E0735?

The 2026 National Average Medicare reimbursement rate for E0735 (DMEPOS Equipment) is $49.92. This rate is effective as of January 1, 2026.

What is the description for code E0735?

Non-invasive vagus nerve stimulator

Why do facility and non-facility payments differ for E0735?

Facility vs. non-facility differences usually apply to RVU-based physician services. E0735 may not use both facility and non-facility pricing depending on its payment methodology.

How can I find my local Medicare rate for E0735?

Use MedFeeSchedule's Medicare Physician Fee Schedule Lookup Tool on the homepage to estimate your locality-adjusted reimbursement. Medicare payment can vary based on geographic adjustments (GPCI), place of service, and claim specifics.

Is E0735 covered by Medicare?

Coverage depends on medical necessity, setting, and Medicare policy. Some codes may be bundled, contractor-priced, or restricted. Verify final coverage guidance through CMS or your local MAC when applicable.