E0659 — Segmental pneumatic appliance for use with pneumatic compressor, integrated, head, neck and chest
HCPCS Level II E-code · short descriptor: “Seg pneum comp head neck che”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Special coverage instructions apply
- DMEPOS payment category
- Capped rental
- Prior authorization
- Not on Medicare required-PA list
- Status
- Active (April 2026 HCPCS)
Prior authorization
Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.
E0659 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $152.28 to $293.19 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $279.52 | — |
| AL | $179.15 | — |
| AR | $179.15 | — |
| AZ | $179.15 | — |
| CA | $179.15 | — |
| CO | $152.28 | — |
| CT | $179.15 | — |
| DC | $179.15 | — |
| DE | $174.61 | — |
| FL | $179.15 | — |
| GA | $179.15 | — |
| HI | $293.19 | — |
| IA | $152.28 | — |
| ID | $179.15 | — |
| IL | $179.15 | — |
| IN | $152.28 | — |
| KS | $152.28 | — |
| KY | $179.15 | — |
| LA | $179.15 | — |
| MA | $152.28 | — |
| MD | $174.61 | — |
| ME | $152.28 | — |
| MI | $179.15 | — |
| MN | $152.28 | — |
| MO | $152.28 | — |
| MS | $157.94 | — |
| MT | $152.28 | — |
| NC | $179.15 | — |
| ND | $152.28 | — |
| NE | $152.28 | — |
| NH | $152.28 | — |
| NJ | $174.61 | — |
| NM | $179.15 | — |
| NV | $179.15 | — |
| NY | $179.15 | — |
| OH | $179.15 | — |
| OK | $174.87 | — |
| OR | $179.15 | — |
| PA | $174.61 | — |
| PR | $223.11 | — |
| RI | $179.15 | — |
| SC | $179.15 | — |
| SD | $152.28 | — |
| TN | $179.15 | — |
| TX | $179.15 | — |
| UT | $175.91 | — |
| VA | $152.28 | — |
| VI | $179.15 | — |
| VT | $152.28 | — |
| WA | $179.15 | — |
| WI | $179.15 | — |
| WV | $174.61 | — |
| WY | $152.28 | — |
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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