E0666 — Non-segmental pneumatic appliance for use with pneumatic compressor, half leg
HCPCS Level II E-code · short descriptor: “Pneumatic appliance half leg”
- 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
- 2
- 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.
E0666 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $130.91 to $196.80 depending on state and rural status.
Former-CBA payment limits: ceiling $196.80 · floor $167.28
| State | Non-rural | Rural |
|---|---|---|
| AK | $130.91 | — |
| AL | $196.80 | — |
| AR | $196.80 | — |
| AZ | $196.80 | — |
| CA | $167.28 | — |
| CO | $188.31 | — |
| CT | $167.28 | — |
| DC | $167.28 | — |
| DE | $167.28 | — |
| FL | $196.80 | — |
| GA | $196.80 | — |
| HI | $139.97 | — |
| IA | $196.80 | — |
| ID | $196.80 | — |
| IL | $196.80 | — |
| IN | $196.80 | — |
| KS | $196.80 | — |
| KY | $196.80 | — |
| LA | $196.80 | — |
| MA | $196.80 | — |
| MD | $167.28 | — |
| ME | $196.80 | — |
| MI | $196.80 | — |
| MN | $174.10 | — |
| MO | $180.42 | — |
| MS | $167.28 | — |
| MT | $196.80 | — |
| NC | $184.64 | — |
| ND | $188.31 | — |
| NE | $191.49 | — |
| NH | $196.80 | — |
| NJ | $196.80 | — |
| NM | $196.80 | — |
| NV | $196.80 | — |
| NY | $188.72 | — |
| OH | $167.28 | — |
| OK | $196.80 | — |
| OR | $196.80 | — |
| PA | $167.28 | — |
| PR | $178.51 | — |
| RI | $193.56 | — |
| SC | $196.80 | — |
| SD | $188.31 | — |
| TN | $192.92 | — |
| TX | $196.80 | — |
| UT | $196.80 | — |
| VA | $167.28 | — |
| VI | $188.72 | — |
| VT | $196.80 | — |
| WA | $196.80 | — |
| WI | $196.80 | — |
| WV | $196.80 | — |
| WY | $188.31 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $13.11 to $22.28 depending on state and rural status.
Former-CBA payment limits: ceiling $20.27 · floor $17.23
| State | Non-rural | Rural |
|---|---|---|
| AK | $13.11 | — |
| AL | $20.21 | — |
| AR | $20.27 | — |
| AZ | $20.27 | — |
| CA | $17.23 | — |
| CO | $18.83 | — |
| CT | $17.23 | — |
| DC | $20.27 | — |
| DE | $20.27 | — |
| FL | $19.93 | — |
| GA | $20.27 | — |
| HI | $14.01 | — |
| IA | $20.27 | — |
| ID | $20.27 | — |
| IL | $20.27 | — |
| IN | $19.69 | — |
| KS | $19.87 | — |
| KY | $20.27 | — |
| LA | $20.27 | — |
| MA | $20.27 | — |
| MD | $20.27 | — |
| ME | $18.83 | — |
| MI | $20.27 | — |
| MN | $17.41 | — |
| MO | $18.03 | — |
| MS | $17.23 | — |
| MT | $20.27 | — |
| NC | $18.46 | — |
| ND | $18.83 | — |
| NE | $19.15 | — |
| NH | $18.83 | — |
| NJ | $20.27 | — |
| NM | $20.27 | — |
| NV | $20.27 | — |
| NY | $18.47 | — |
| OH | $17.23 | — |
| OK | $20.27 | — |
| OR | $20.27 | — |
| PA | $20.27 | — |
| PR | $22.28 | — |
| RI | $18.51 | — |
| SC | $20.27 | — |
| SD | $18.83 | — |
| TN | $19.35 | — |
| TX | $20.19 | — |
| UT | $20.27 | — |
| VA | $18.24 | — |
| VI | $18.47 | — |
| VT | $18.83 | — |
| WA | $20.27 | — |
| WI | $20.27 | — |
| WV | $20.27 | — |
| WY | $18.83 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $98.15 to $147.62 depending on state and rural status.
Former-CBA payment limits: ceiling $147.62 · floor $125.48
| State | Non-rural | Rural |
|---|---|---|
| AK | $98.15 | — |
| AL | $147.62 | — |
| AR | $147.62 | — |
| AZ | $147.62 | — |
| CA | $125.48 | — |
| CO | $141.30 | — |
| CT | $125.48 | — |
| DC | $125.48 | — |
| DE | $125.48 | — |
| FL | $147.62 | — |
| GA | $147.62 | — |
| HI | $104.98 | — |
| IA | $147.62 | — |
| ID | $147.62 | — |
| IL | $147.62 | — |
| IN | $147.62 | — |
| KS | $147.62 | — |
| KY | $147.62 | — |
| LA | $147.62 | — |
| MA | $147.62 | — |
| MD | $125.48 | — |
| ME | $147.62 | — |
| MI | $147.62 | — |
| MN | $130.59 | — |
| MO | $135.31 | — |
| MS | $125.48 | — |
| MT | $147.62 | — |
| NC | $138.54 | — |
| ND | $141.30 | — |
| NE | $143.63 | — |
| NH | $147.62 | — |
| NJ | $147.62 | — |
| NM | $147.62 | — |
| NV | $147.62 | — |
| NY | $146.17 | — |
| OH | $125.48 | — |
| OK | $147.62 | — |
| OR | $147.62 | — |
| PA | $125.48 | — |
| PR | $133.92 | — |
| RI | $145.17 | — |
| SC | $147.62 | — |
| SD | $141.30 | — |
| TN | $144.70 | — |
| TX | $147.62 | — |
| UT | $147.62 | — |
| VA | $125.48 | — |
| VI | $146.17 | — |
| VT | $147.62 | — |
| WA | $147.62 | — |
| WI | $147.62 | — |
| WV | $147.62 | — |
| WY | $141.30 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0666 at 2 units per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Anatomic Consideration.
Common denial codes to watch
Related E-codes
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