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E0651 — Pneumatic compressor, segmental home model without calibrated gradient pressure

HCPCS Level II E-code · short descriptor: “Pneum compressor segmental” · PA required

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
Required (Medicare, since 2026-04-13)
Status
Active (April 2026 HCPCS)

Prior authorization

PA REQUIRED E0651 is on Medicare's DMEPOS Required Prior Authorization List (Pneumatic Compression Devices — nationwide since 2026-04-13).

Claims for this item without an affirmed prior-authorization decision are automatically denied (commonly surfacing as CO-197). Submit the PA request to your DME MAC with the order and supporting clinical documentation before delivery.

E0651 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $888.41 to $1344.68 depending on state and rural status.

Former-CBA payment limits: ceiling $1308.85 · floor $1112.52

StateNon-ruralRural
AK$888.41
AL$1308.85
AR$1308.85
AZ$1292.82
CA$1112.52
CO$1308.85
CT$1308.85
DC$1308.85
DE$1308.85
FL$1308.85
GA$1308.85
HI$949.97
IA$1308.85
ID$1308.85
IL$1308.85
IN$1146.81
KS$1112.52
KY$1308.85
LA$1308.85
MA$1112.52
MD$1308.85
ME$1112.52
MI$1308.85
MN$1181.86
MO$1112.52
MS$1308.85
MT$1308.85
NC$1308.85
ND$1308.85
NE$1112.52
NH$1112.52
NJ$1308.85
NM$1308.85
NV$1292.82
NY$1112.52
OH$1112.52
OK$1198.73
OR$1308.85
PA$1308.85
PR$1344.68
RI$1308.85
SC$1308.85
SD$1308.85
TN$1308.85
TX$1308.85
UT$1308.85
VA$1112.52
VI$1112.52
VT$1112.52
WA$1308.85
WI$1308.85
WV$1112.52
WY$1308.85

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $88.86 to $168.07 depending on state and rural status.

Former-CBA payment limits: ceiling $133.71 · floor $113.65

StateNon-ruralRural
AK$88.86
AL$133.71
AR$133.71
AZ$133.71
CA$113.65
CO$133.71
CT$133.71
DC$130.88
DE$130.88
FL$133.71
GA$133.71
HI$94.98
IA$133.71
ID$133.71
IL$133.71
IN$133.71
KS$113.65
KY$133.71
LA$133.71
MA$131.79
MD$130.88
ME$131.79
MI$133.71
MN$119.01
MO$113.65
MS$133.71
MT$133.71
NC$133.71
ND$133.71
NE$113.65
NH$131.79
NJ$130.88
NM$131.34
NV$129.29
NY$125.01
OH$113.65
OK$119.88
OR$130.88
PA$130.88
PR$168.07
RI$133.71
SC$133.71
SD$133.71
TN$133.71
TX$130.88
UT$133.71
VA$123.95
VI$125.01
VT$131.79
WA$130.88
WI$133.71
WV$113.65
WY$133.71

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $666.30 to $1008.49 depending on state and rural status.

Former-CBA payment limits: ceiling $981.68 · floor $834.43

StateNon-ruralRural
AK$666.30
AL$981.68
AR$981.68
AZ$969.63
CA$834.43
CO$981.68
CT$981.68
DC$981.68
DE$981.68
FL$981.68
GA$981.68
HI$712.49
IA$981.68
ID$981.68
IL$981.68
IN$860.10
KS$834.43
KY$981.68
LA$981.68
MA$834.43
MD$981.68
ME$834.43
MI$981.68
MN$886.43
MO$834.43
MS$981.68
MT$981.68
NC$981.68
ND$981.68
NE$834.43
NH$834.43
NJ$981.68
NM$981.68
NV$969.63
NY$834.43
OH$834.43
OK$899.05
OR$981.68
PA$981.68
PR$1008.49
RI$981.68
SC$981.68
SD$981.68
TN$981.68
TX$981.68
UT$981.68
VA$834.43
VI$834.43
VT$834.43
WA$981.68
WI$981.68
WV$834.43
WY$981.68
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026. Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%. A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area adjustments and non-continental rates can differ — verify with your DME MAC.

Common denial codes to watch

Related E-codes

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