Summary & Overview
HCPCS E0791: Parenteral Infusion Pump, Stationary, Single or Multi-Channel
HCPCS Level II code E0791 designates a stationary parenteral infusion pump, single or multi-channel. Stationary infusion pumps are key components in the delivery of intravenous therapies in non-ambulatory settings such as home infusion programs, infusion suites, and long-term care facilities. Coverage and billing for these devices affect patient access to complex therapies, durable medical equipment contracting, and facility service line operations nationwide.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the code’s clinical and service context, typical sites of service, and a summary of payer coverage patterns where available. The publication also outlines common billing practices, relevant modifiers that may appear on claims, and benchmarking information when present.
This summary provides a concise guide to what HCPCS Level II code E0791 represents, why it matters for providers and payers, and what elements to consider when reviewing claims or contracting for stationary infusion pump services. Data not available in the input will be indicated as such in detailed sections.
Billing Code Overview
HCPCS Level II code E0791 describes a parenteral infusion pump, stationary, single or multi-channel. This device delivers parenteral fluids or medications via one or more infusion channels and is intended for use where a stationary pump is appropriate rather than a portable or ambulatory model.
Service type: Durable medical equipment (DME) — infusion pump service/therapy
Typical site of service: Home health care, outpatient clinic infusion center, or other stationary care locations
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A 62-year-old patient with advanced colorectal cancer requires continuous parenteral hydration and intermittent chemotherapy administration in the outpatient oncology infusion suite. The oncology team elects to use a stationary parenteral infusion pump to deliver multi-drug regimens and supplemental hydration over several hours during scheduled visits. The clinical workflow includes: initial physician order documenting need for an infusion pump, verification of vascular access (peripheral IV or implanted port), pharmacy preparation of infusion bags, pump programming by an authorized RN or infusion pharmacist to the prescribed rates and volumes, placement of the pump at the bedside in the infusion chair or on an infusion pole, continuous monitoring of infusion parameters and patient vital signs, documentation of pump settings and any alarms in the medical record, and disposition once infusion completes. Billing uses HCPCS Level II code E0791 for the stationary, single- or multi-channel parenteral infusion pump when the device is furnished by the provider or facility during the encounter. Typical site of service is an outpatient infusion center, hospital outpatient department, or ambulatory surgery center for treatments that require stationary infusion capacity. Typical modifiers applied reflect professional or facility circumstances, medically necessary unusual services, or technical/professional components as applicable.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
26 |