E0650 — Pneumatic compressor, non-segmental home model
HCPCS Level II E-code · short descriptor: “Pneuma compresor non-segment”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Special coverage instructions apply
- DMEPOS payment category
- Inexpensive or routinely purchased
- Prior authorization
- Not on Medicare required-PA list
- Face-to-face & WOPD
- Not on the required list
- MUE unit limit
- 1
- Status
- Active (HCPCS Level II October 2026)
Prior authorization
Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-25; 8 more from 2026-10-28; sources: CMS list updated 2026-01-13, CMS-6109-N (91 FR 47972)). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.
Order readiness — what the written order must contain
Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):
- Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
- General description of the item (42 CFR 410.38(d)(1)(i)(B))
- Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
- Order date (42 CFR 410.38(d)(1)(i)(D))
- Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
- Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))
Not on the F2F/WOPD list (CMS Required F2F & WOPD List — 83 items in force on 2026-10-25; 22 more from 2026-10-28; sources: CMS list effective 2026-04-13 (91 FR 1250), CMS-6109-N (91 FR 47972)). The standard written order must reach the supplier before claim submission.
Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.
E0650 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $872.43 to $1215.31 depending on state and rural status.
Former-CBA payment limits: ceiling $1026.39 · floor $872.43
| State | Non-rural | Rural |
|---|---|---|
| AK | $1136.48 | — |
| AL | $1026.39 | — |
| AR | $1020.68 | — |
| AZ | $1026.39 | — |
| CA | $1026.39 | — |
| CO | $996.00 | — |
| CT | $872.43 | — |
| DC | $1026.39 | — |
| DE | $1026.39 | — |
| FL | $948.77 | — |
| GA | $872.43 | — |
| HI | $1215.31 | — |
| IA | $994.56 | — |
| ID | $1026.39 | — |
| IL | $1026.39 | — |
| IN | $1026.39 | — |
| KS | $1026.39 | — |
| KY | $922.98 | — |
| LA | $1026.39 | — |
| MA | $1026.39 | — |
| MD | $978.63 | — |
| ME | $1026.39 | — |
| MI | $872.43 | — |
| MN | $1026.39 | — |
| MO | $1026.39 | — |
| MS | $872.43 | — |
| MT | $995.51 | — |
| NC | $904.67 | — |
| ND | $1026.39 | — |
| NE | $1026.39 | — |
| NH | $932.20 | — |
| NJ | $932.24 | — |
| NM | $1026.39 | — |
| NV | $1026.39 | — |
| NY | $928.11 | — |
| OH | $940.15 | — |
| OK | $1026.39 | — |
| OR | $1026.39 | — |
| PA | $1007.28 | — |
| PR | $994.39 | — |
| RI | $1026.39 | — |
| SC | $872.43 | — |
| SD | $1026.39 | — |
| TN | $872.43 | — |
| TX | $996.12 | — |
| UT | $987.56 | — |
| VA | $916.91 | — |
| VI | $928.11 | — |
| VT | $1026.39 | — |
| WA | $1026.39 | — |
| WI | $1026.39 | — |
| WV | $940.15 | — |
| WY | $1017.58 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $107.66 to $153.26 depending on state and rural status.
Former-CBA payment limits: ceiling $126.66 · floor $107.66
| State | Non-rural | Rural |
|---|---|---|
| AK | $143.30 | — |
| AL | $107.66 | — |
| AR | $126.66 | — |
| AZ | $123.48 | — |
| CA | $126.66 | — |
| CO | $107.66 | — |
| CT | $126.66 | — |
| DC | $126.66 | — |
| DE | $126.66 | — |
| FL | $116.91 | — |
| GA | $113.82 | — |
| HI | $153.26 | — |
| IA | $107.66 | — |
| ID | $113.99 | — |
| IL | $126.66 | — |
| IN | $126.66 | — |
| KS | $120.82 | — |
| KY | $107.66 | — |
| LA | $126.66 | — |
| MA | $126.66 | — |
| MD | $126.17 | — |
| ME | $126.66 | — |
| MI | $126.66 | — |
| MN | $110.33 | — |
| MO | $126.66 | — |
| MS | $107.66 | — |
| MT | $124.50 | — |
| NC | $107.66 | — |
| ND | $126.66 | — |
| NE | $114.91 | — |
| NH | $126.66 | — |
| NJ | $126.66 | — |
| NM | $126.66 | — |
| NV | $123.48 | — |
| NY | $111.54 | — |
| OH | $124.55 | — |
| OK | $126.66 | — |
| OR | $126.66 | — |
| PA | $126.66 | — |
| PR | $124.32 | — |
| RI | $125.01 | — |
| SC | $107.66 | — |
| SD | $126.66 | — |
| TN | $126.66 | — |
| TX | $114.65 | — |
| UT | $126.66 | — |
| VA | $126.66 | — |
| VI | $111.54 | — |
| VT | $108.21 | — |
| WA | $113.17 | — |
| WI | $126.66 | — |
| WV | $126.66 | — |
| WY | $107.66 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $124.32 to $911.46 depending on state and rural status.
Former-CBA payment limits: ceiling $769.80 · floor $654.33
| State | Non-rural | Rural |
|---|---|---|
| AK | $852.38 | — |
| AL | $769.80 | — |
| AR | $765.57 | — |
| AZ | $769.80 | — |
| CA | $769.80 | — |
| CO | $747.88 | — |
| CT | $654.33 | — |
| DC | $769.80 | — |
| DE | $769.80 | — |
| FL | $729.89 | — |
| GA | $654.33 | — |
| HI | $911.46 | — |
| IA | $745.95 | — |
| ID | $769.80 | — |
| IL | $769.80 | — |
| IN | $769.80 | — |
| KS | $769.80 | — |
| KY | $692.22 | — |
| LA | $769.80 | — |
| MA | $769.80 | — |
| MD | $734.00 | — |
| ME | $769.80 | — |
| MI | $654.33 | — |
| MN | $769.80 | — |
| MO | $769.80 | — |
| MS | $654.33 | — |
| MT | $740.54 | — |
| NC | $678.54 | — |
| ND | $769.80 | — |
| NE | $769.80 | — |
| NH | $699.18 | — |
| NJ | $699.20 | — |
| NM | $769.80 | — |
| NV | $769.80 | — |
| NY | $700.58 | — |
| OH | $677.24 | — |
| OK | $769.80 | — |
| OR | $769.80 | — |
| PA | $654.33 | — |
| PR | $124.32 | — |
| RI | $769.80 | — |
| SC | $654.33 | — |
| SD | $769.80 | — |
| TN | $654.33 | — |
| TX | $747.10 | — |
| UT | $740.72 | — |
| VA | $687.67 | — |
| VI | $700.58 | — |
| VT | $769.80 | — |
| WA | $769.80 | — |
| WI | $769.80 | — |
| WV | $705.10 | — |
| WY | $763.18 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0650 at 1 unit per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Nature of Equipment.
Common denial codes to watch
Related E-codes
Bill E0650 with confidence
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