E0652 — Pneumatic compressor, segmental home model with calibrated gradient pressure
HCPCS Level II E-code · short descriptor: “Pneum compres w/cal pressure” · 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 E0652 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 2026-10-25; 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.
E0652 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $6422.01 to $9406.70 depending on state and rural status.
Former-CBA payment limits: ceiling $7555.31 · floor $6422.01
| State | Non-rural | Rural |
|---|---|---|
| AK | $8796.99 | — |
| AL | $7555.31 | — |
| AR | $7555.31 | — |
| AZ | $7555.31 | — |
| CA | $7555.31 | — |
| CO | $6878.71 | — |
| CT | $6422.01 | — |
| DC | $7467.23 | — |
| DE | $7467.23 | — |
| FL | $7555.31 | — |
| GA | $7555.31 | — |
| HI | $9406.70 | — |
| IA | $7555.31 | — |
| ID | $6513.99 | — |
| IL | $7555.31 | — |
| IN | $7541.66 | — |
| KS | $7555.31 | — |
| KY | $6816.79 | — |
| LA | $7555.31 | — |
| MA | $7555.31 | — |
| MD | $7467.23 | — |
| ME | $7555.31 | — |
| MI | $7555.31 | — |
| MN | $6422.01 | — |
| MO | $6422.01 | — |
| MS | $6422.01 | — |
| MT | $6422.01 | — |
| NC | $7555.31 | — |
| ND | $6878.71 | — |
| NE | $7555.31 | — |
| NH | $7555.31 | — |
| NJ | $6422.01 | — |
| NM | $7555.31 | — |
| NV | $7555.31 | — |
| NY | $7168.22 | — |
| OH | $7467.19 | — |
| OK | $7555.31 | — |
| OR | $7555.31 | — |
| PA | $7467.23 | — |
| PR | $9021.96 | — |
| RI | $7548.50 | — |
| SC | $7555.31 | — |
| SD | $6878.71 | — |
| TN | $7555.31 | — |
| TX | $7555.31 | — |
| UT | $6422.01 | — |
| VA | $6422.01 | — |
| VI | $7168.22 | — |
| VT | $7555.31 | — |
| WA | $6874.62 | — |
| WI | $7555.31 | — |
| WV | $7467.19 | — |
| WY | $6878.71 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $634.69 to $1127.76 depending on state and rural status.
Former-CBA payment limits: ceiling $746.69 · floor $634.69
| State | Non-rural | Rural |
|---|---|---|
| AK | $879.70 | — |
| AL | $746.69 | — |
| AR | $746.69 | — |
| AZ | $746.69 | — |
| CA | $746.69 | — |
| CO | $687.82 | — |
| CT | $634.69 | — |
| DC | $746.69 | — |
| DE | $746.69 | — |
| FL | $746.69 | — |
| GA | $746.69 | — |
| HI | $940.70 | — |
| IA | $746.69 | — |
| ID | $651.40 | — |
| IL | $634.69 | — |
| IN | $746.69 | — |
| KS | $746.69 | — |
| KY | $681.79 | — |
| LA | $746.69 | — |
| MA | $634.69 | — |
| MD | $746.08 | — |
| ME | $634.69 | — |
| MI | $634.69 | — |
| MN | $634.69 | — |
| MO | $634.69 | — |
| MS | $634.69 | — |
| MT | $634.69 | — |
| NC | $746.69 | — |
| ND | $687.82 | — |
| NE | $746.69 | — |
| NH | $634.69 | — |
| NJ | $634.69 | — |
| NM | $746.69 | — |
| NV | $746.69 | — |
| NY | $716.78 | — |
| OH | $746.68 | — |
| OK | $746.69 | — |
| OR | $746.69 | — |
| PA | $746.69 | — |
| PR | $1127.76 | — |
| RI | $746.69 | — |
| SC | $746.69 | — |
| SD | $687.82 | — |
| TN | $746.69 | — |
| TX | $746.69 | — |
| UT | $634.69 | — |
| VA | $634.69 | — |
| VI | $716.78 | — |
| VT | $634.69 | — |
| WA | $746.69 | — |
| WI | $746.69 | — |
| WV | $746.68 | — |
| WY | $687.82 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $4812.21 to $7055.19 depending on state and rural status.
Former-CBA payment limits: ceiling $5661.42 · floor $4812.21
| State | Non-rural | Rural |
|---|---|---|
| AK | $6597.95 | — |
| AL | $5661.42 | — |
| AR | $5661.42 | — |
| AZ | $5661.42 | — |
| CA | $5661.42 | — |
| CO | $5159.01 | — |
| CT | $4812.21 | — |
| DC | $5600.43 | — |
| DE | $5600.43 | — |
| FL | $5661.42 | — |
| GA | $5661.42 | — |
| HI | $7055.19 | — |
| IA | $5661.42 | — |
| ID | $4885.48 | — |
| IL | $5661.42 | — |
| IN | $5656.20 | — |
| KS | $5661.42 | — |
| KY | $5112.60 | — |
| LA | $5661.42 | — |
| MA | $5661.42 | — |
| MD | $5600.43 | — |
| ME | $5661.42 | — |
| MI | $4812.21 | — |
| MN | $4812.21 | — |
| MO | $4812.21 | — |
| MS | $4812.21 | — |
| MT | $4812.21 | — |
| NC | $5661.42 | — |
| ND | $5159.01 | — |
| NE | $5661.42 | — |
| NH | $5661.42 | — |
| NJ | $5600.43 | — |
| NM | $5661.42 | — |
| NV | $5661.42 | — |
| NY | $5100.36 | — |
| OH | $5600.40 | — |
| OK | $5661.42 | — |
| OR | $5661.42 | — |
| PA | $4812.21 | — |
| PR | $6766.48 | — |
| RI | $5661.42 | — |
| SC | $5661.42 | — |
| SD | $5159.01 | — |
| TN | $5661.42 | — |
| TX | $5661.42 | — |
| UT | $4812.21 | — |
| VA | $4812.21 | — |
| VI | $5100.36 | — |
| VT | $5661.42 | — |
| WA | $5155.95 | — |
| WI | $5661.42 | — |
| WV | $5600.40 | — |
| WY | $5159.01 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0652 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 E0652 with confidence
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