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)
- Face-to-face & WOPD
- Not on the required list
- MUE unit limit
- 1
- Status
- Active (HCPCS Level II October 2026)
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.
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 2026-10-26; 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.
E0651 Medicare fee schedule (October 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
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0651 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 E0651 with confidence
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