E0668 — Segmental pneumatic appliance for use with pneumatic compressor, full arm
HCPCS Level II E-code · short descriptor: “Seg pneumatic appl full arm”
- 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
- 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.
E0668 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $534.98 to $976.21 depending on state and rural status.
Former-CBA payment limits: ceiling $629.74 · floor $535.28
| State | Non-rural | Rural |
|---|---|---|
| AK | $912.94 | — |
| AL | $629.74 | — |
| AR | $625.67 | — |
| AZ | $629.74 | — |
| CA | $629.74 | — |
| CO | $535.28 | — |
| CT | $629.74 | — |
| DC | $535.28 | — |
| DE | $535.28 | — |
| FL | $629.74 | — |
| GA | $629.74 | — |
| HI | $976.21 | — |
| IA | $535.28 | — |
| ID | $535.28 | — |
| IL | $629.74 | — |
| IN | $535.28 | — |
| KS | $535.28 | — |
| KY | $629.74 | — |
| LA | $629.74 | — |
| MA | $629.74 | — |
| MD | $535.28 | — |
| ME | $629.74 | — |
| MI | $535.28 | — |
| MN | $535.28 | — |
| MO | $535.28 | — |
| MS | $535.28 | — |
| MT | $535.28 | — |
| NC | $629.74 | — |
| ND | $535.28 | — |
| NE | $535.28 | — |
| NH | $629.74 | — |
| NJ | $535.28 | — |
| NM | $629.74 | — |
| NV | $629.74 | — |
| NY | $535.28 | — |
| OH | $535.28 | — |
| OK | $629.74 | — |
| OR | $629.74 | — |
| PA | $535.28 | — |
| PR | $534.98 | — |
| RI | $629.74 | — |
| SC | $629.74 | — |
| SD | $535.28 | — |
| TN | $629.74 | — |
| TX | $629.74 | — |
| UT | $629.74 | — |
| VA | $535.28 | — |
| VI | $535.28 | — |
| VT | $629.74 | — |
| WA | $629.74 | — |
| WI | $629.74 | — |
| WV | $535.28 | — |
| WY | $535.28 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $52.83 to $97.65 depending on state and rural status.
Former-CBA payment limits: ceiling $62.15 · floor $52.83
| State | Non-rural | Rural |
|---|---|---|
| AK | $91.28 | — |
| AL | $62.15 | — |
| AR | $62.15 | — |
| AZ | $62.15 | — |
| CA | $62.15 | — |
| CO | $52.83 | — |
| CT | $62.15 | — |
| DC | $52.83 | — |
| DE | $52.83 | — |
| FL | $62.15 | — |
| GA | $62.15 | — |
| HI | $97.65 | — |
| IA | $52.83 | — |
| ID | $52.83 | — |
| IL | $62.15 | — |
| IN | $52.83 | — |
| KS | $52.83 | — |
| KY | $62.15 | — |
| LA | $62.15 | — |
| MA | $62.15 | — |
| MD | $52.83 | — |
| ME | $62.15 | — |
| MI | $52.83 | — |
| MN | $52.83 | — |
| MO | $52.83 | — |
| MS | $52.83 | — |
| MT | $52.83 | — |
| NC | $62.15 | — |
| ND | $52.83 | — |
| NE | $52.83 | — |
| NH | $62.15 | — |
| NJ | $52.83 | — |
| NM | $62.15 | — |
| NV | $62.15 | — |
| NY | $52.83 | — |
| OH | $52.83 | — |
| OK | $62.15 | — |
| OR | $62.15 | — |
| PA | $52.83 | — |
| PR | $59.35 | — |
| RI | $62.15 | — |
| SC | $62.15 | — |
| SD | $52.83 | — |
| TN | $62.15 | — |
| TX | $62.15 | — |
| UT | $62.15 | — |
| VA | $52.83 | — |
| VI | $52.83 | — |
| VT | $62.15 | — |
| WA | $62.15 | — |
| WI | $62.15 | — |
| WV | $52.83 | — |
| WY | $52.83 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $401.47 to $732.17 depending on state and rural status.
Former-CBA payment limits: ceiling $472.32 · floor $401.47
| State | Non-rural | Rural |
|---|---|---|
| AK | $684.76 | — |
| AL | $472.32 | — |
| AR | $469.26 | — |
| AZ | $472.32 | — |
| CA | $472.32 | — |
| CO | $401.47 | — |
| CT | $472.32 | — |
| DC | $401.47 | — |
| DE | $401.47 | — |
| FL | $472.32 | — |
| GA | $472.32 | — |
| HI | $732.17 | — |
| IA | $401.47 | — |
| ID | $401.47 | — |
| IL | $472.32 | — |
| IN | $401.47 | — |
| KS | $401.47 | — |
| KY | $472.32 | — |
| LA | $472.32 | — |
| MA | $472.32 | — |
| MD | $401.47 | — |
| ME | $472.32 | — |
| MI | $401.47 | — |
| MN | $401.47 | — |
| MO | $401.47 | — |
| MS | $401.47 | — |
| MT | $401.47 | — |
| NC | $472.32 | — |
| ND | $401.47 | — |
| NE | $401.47 | — |
| NH | $472.32 | — |
| NJ | $401.47 | — |
| NM | $472.32 | — |
| NV | $472.32 | — |
| NY | $401.47 | — |
| OH | $401.47 | — |
| OK | $472.32 | — |
| OR | $472.32 | — |
| PA | $401.47 | — |
| PR | $444.71 | — |
| RI | $472.32 | — |
| SC | $472.32 | — |
| SD | $401.47 | — |
| TN | $472.32 | — |
| TX | $472.32 | — |
| UT | $472.32 | — |
| VA | $401.47 | — |
| VI | $401.47 | — |
| VT | $472.32 | — |
| WA | $472.32 | — |
| WI | $472.32 | — |
| WV | $401.47 | — |
| WY | $401.47 | — |
Common denial codes to watch
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