E1630 – Reciprocating peritoneal dialysis system
HCPCS Level II code · E codes: Durable Medical Equipment (DME)
HCPCS codeE1630
- Long description
- Reciprocating peritoneal dialysis system
- Short description
- Reciprocating peritoneal dia
- Pricing indicator
00Not separately priced by Part B (bundled, not covered or Part A only)- Medicare coverage
CCarrier judgment – coverage decided by the Medicare contractor- BETOS category
P9BDialysis services (Non-Medicare fee schedule)- Added
- January 1, 1986
- Last change
- January 1, 2015 – No change
Frequently asked questions
What is HCPCS code E1630?
E1630 is a HCPCS Level II code for reciprocating peritoneal dialysis system.
Does Medicare cover E1630?
The HCPCS file lists coverage code C: Carrier judgment – coverage decided by the Medicare contractor. Coverage and payment also depend on local coverage determinations and the patient’s plan.
Nearby E codes
- E1592 – Automatic intermittent peritoneal dialysis system
- E1594 – Cycler dialysis machine for peritoneal dialysis
- E1600 – Delivery and/or installation charges for hemodialysis equipment
- E1610 – Reverse osmosis water purification system, for hemodialysis
- E1615 – Deionizer water purification system, for hemodialysis
- E1620 – Blood pump for hemodialysis, replacement
- E1625 – Water softening system, for hemodialysis
- E1629 – Tablo hemodialysis system for the billable dialysis service
- E1632 – Wearable artificial kidney, each
- E1634 – Peritoneal dialysis clamps, each
- E1635 – Compact (portable) travel hemodialyzer system
- E1636 – Sorbent cartridges, for hemodialysis, per 10
- E1637 – Hemostats, each
- E1639 – Scale, each
- E1699 – Dialysis equipment, not otherwise specified
- E1700 – Jaw motion rehabilitation system
Source: CMS HCPCS Level II quarterly file, October 2026. Reference only – check payer policy before billing.